FLORIDA DEPARTMENT OF STATE  
                                         DIVISION OF CORPORATIONS 
 
Section 617.1401, Florida Statutes, provides for the dissolution of a corporation that has not commenced to 
conduct its affairs. 
 
The document must be typed or printed and must be legible. 
 
Pursuant to section 617.0123, Florida Statutes, a delayed effective date may be specified but may not be later than 
  th
the 90  day after the date on which the document is filed. 
 
NOTE: A Notice of Corporate Dissolution form is attached. This notice pursuant to section 617.1407, Florida 
Statutes is optional and is not required when filing a dissolution. No additional fee is required if it is included.  
 
                FEES: 
                Articles of Dissolution           $  35.00 (Includes a letter of acknowledgment) 
                Certified Copy (optional)         $    8.75 
                Certificate of Status (optional)  $    8.75 
 
Send one check in the total amount made payable to the Florida Department of State. 
 
Please include a  letter containing  your telephone number, return address  and certification requirements, or 
complete the attached cover letter. 
 
    Mailing Address:                              Street Address: 
    Amendment Section                                      Amendment Section 
    Division of Corporations                               Division of Corporations 
    P.O. Box 6327                                          The Centre of Tallahassee 
    Tallahassee, FL 32314                                  2415 N. Monroe Street, Suite 810 
                                                           Tallahassee, FL 32303 
 
For further information, you may contact the Amendment Section at (850) 245-6050. 
 
CR2E059a (8/13) 
 

                                                                               COVER LETTER 
          
         TO:   Amendment Section 
                 Division of Corporations 
          
         SUBJECT:                                                                                                                             
          
         DOCUMENT NUMBER:                                                                                                                     
          
         The enclosed Articles of Dissolution and fee are submitted for filing. 
          
         Please return all correspondence concerning this matter to the following: 
          
                                                  (Name of Contact Person) 
          
                                                                 (Firm/Company) 
          
                                                                                    (Address) 
          
                                                                             (City/State and Zip Code) 
          
         For further information concerning this matter, please call: 
          
                                                                                   at (                )                                          
                      (Name of Contact Person)                                           (Area Code)            (Daytime Telephone Number)   
          
        Enclosed is a check for the following amount:  
  
          ☐ $35 Filing Fee   ☐ $43.75 Filing Fee &     ☐$43.75 Filing Fee &      ☐ $52.50 Filing Fee, Certificate of 
                               Certificate of Status       Certified Copy                   Status & Certified Copy (Additional copy is enclosed)     
                                                                (Additional copy is enclosed)                                                
                                                                                                                                    
          Mailing Address:                                                                    Street Address: 
          Amendment Section                                                                   Amendment Section 
          Division of Corporations                                                            Division of Corporations 
          P.O. Box 6327                                                                       The Centre of Tallahassee 
          Tallahassee, FL 32314                                                               2415 N. Monroe Street, Suite 810 
                                                                                              Tallahassee, FL 32303 
                                                                                 

                                                      ARTICLES OF DISSOLUTION 
 
Pursuant to section 617.1401, Florida Statutes, this Florida not for profit corporation submits the following 
Articles of Dissolution: 
 
FIRST:  The name of the corporation as currently filed with the Florida Department of State: 
 
SECOND:   The document number of the corporation (if known):                                                      
 
THIRD:  The file date of the articles of incorporation:                                              
 
FOURTH  The corporation has not commenced to conduct its affairs. 
 
FIFTH:    No debts of the corporation remains unpaid. 
 
SIXTH:         Adoption of Dissolution   (CHECK ONE) 
                      (Note:  Cannot be authorized by an incorporator if the corporation has directors) 
 
                 ☐The dissolution was authorized by a majority of the directors: 
                      OR 
 
                                  ☐The dissolution was authorized by an incorporator.  
 
                ☐ The dissolution was authorized by a majority of the incorporators.  
  
    Signature:                                                                                                                                                       
          (By the chairman or vice chairman of the board, president or other officer- if directors have not been                                                
  selected, by an incorporator- if in the hands of a receiver, trustee, or other court appointed fiduciary, by  
                                 that fiduciary) 
                                                             
                                                      (Typed or printed name of person signing) 
                                                             
                                                        (Title of person signing)                                                           
                                                             
                                                         Filing Fee: $35 
                                                             

                          Notice of Corporate Dissolution 
                                                                 
This notice is submitted by the dissolved corporation named below for resolution of payment of unknown claims 
against this corporation as provided in s. 617.1407, F.S.  
 
This "Notice of Corporate Dissolution" is optional and is not required when filing a voluntary dissolution. 
 
Name of Corporation:                                                         
 
Date of dissolution will be the date the dissolution is filed with the Department of State or as specified in the  
Articles of Dissolution. 
 
Description of information that must be included in a claim:  
 
Mailing address where claims can be sent: (Claims cannot be sent to the Division of Corporations) 
 
A claim against the above named corporation will be barred unless a proceeding to enforce the claim is commenced 
within 4 years after the filing of this notice. 
 
                          Printed Name of the Person Filing                    Signature of the Person Filing  
                                      
        Fee:  No charge if included with Articles of Dissolution.  If filed separately $35.00