Free CERTIFICATE OF DOMESTICATION - Florida

COVER LETTER
Department of State Division of Corporations P.O. Box 6327 Tallahassee, FL 32314

SUBJECT:

Enclosed is an original and one (1) copy of the Certificate of Domestication and a check for:

FEES: Certificate of Domestication Articles of Incorporation and Certified Copy Total to domesticate and file OPTIONAL: Certificate of Status $ 8.75 $50.00 $78.75 $128.75

Name (printed or typed)

Address

City, State & Zip

Daytime Telephone Number

E-mail address: (to be used for future annual report notification)

INHS53b (8/05)

NOT FOR PROFIT CERTIFICATE OF DOMESTICATION
The undersigned, __________________________________ , _______________________________ (Name) (Title) of _____________________________________________________________a foreign Corporation (Corporation Name) in accordance with section 617.1803, Florida Statutes, does hereby certify: 1. The date on which corporation was first formed was _________________________, ________ . 2. The jurisdiction where the above named corporation was first formed, incorporated, or otherwise came into being was ____________________________________________________________ . 3. The name of the corporation immediately prior to the filing of this Certificate of Domestication was __________________________________________________________________________ . 4. The name of the corporation, as set forth in its articles of incorporation, to be filed pursuant to s. 617.01201 and 617.0202 with this certificate is _____________________________________ _____________________________________________________________________________ . 5. The jurisdiction that constituted the seat, siege social, or principal place of business or central administration of the corporation, or any other equivalent jurisdiction under applicable law, immediately before the filing of the Certificate of Domestication was _______________________________________________________________________________ 6. Attached are Florida articles of incorporation to complete the domestication requirements pursuant to s. 617.1803.

I am _________________ , of ________________________________________________________ and am authorized to sign this Certificate of Domestication on behalf of the corporation and have done so this the _____ day of _______________________________________________ , ___________ . _________________________________________________ (Authorized Signature)

Filing Fee: Certificate of Domestication Articles of Incorporation and Certified Copy Total to domesticate and file
INHS53b (8/05)

$50.00 $78.75 $128.75

ARTICLES OF INCORPORATION In compliance with Chapter 617, F.S. (Not for Profit) ARTICLE I NAME The name of the corporation shall be: PRINCIPAL OFFICE ARTICLE II The principal place of business/mailing address shall be:

ARTICLE III PURPOSE The purpose for which the corporation is organized:

ARTICLE IV MANNER OF ELECTION The manner in which the directors are elected or appointed:

ARTICLE V INITIAL DIRECTORS AND/ OR OFFICERS The name(s) and address(es) and specific title(s):

ARTICLE VI INITIAL REGISTERED AGENT AND STREET ADDRESS The name and Florida street address (P.O. Box NOT acceptable) of the registered agent is:

ARTICLE VII INCORPORATOR The name and address of the incorporator is:

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Having been named as registered agent and to accept service of process for the above stated corporation at the place designated in this certificate, I am familiar with and accept the appointment as registered agent and agree to act in this capacity. Signature/Registered Agent Date

Signature/Incorporator

Date