COVER LETTER 
                                                 
TO:     Registration Section 
        Division of Corporations 
 
SUBJECT:                                                                                         
                                  Name of Limited Liability Company 
                                                 
Dear Sir or Madam: 
 
The enclosed Articles of Interest Exchange and fee(s) are submitted for filing. 
 
Please return all correspondence concerning this matter to the following: 
 
                          Name of Person 
 
                          Firm/Company 
 
                   Address 
 
               City/State and Zip Code 
 
 E-mail address: (to be used for future annual report notification) 
 
For further information concerning this matter, please call: 
 
                                                 at (               )                            
               Name of Person                            Area Code     Daytime Telephone Number 
 
        Mailing Address:                                            Street Address: 
        Registration Section                                        Registration 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 
         
Important Notice:  Pursuant to s. 605.0212 (11), F.S., as a condition of an interest exchange between a limited 
liability company and another entity under s. 605.1031, the limited liability company and each other entity that is a 
party to the interest exchange which exists under the laws of this state, and each party to the interest exchange which 
exists under the laws of another jurisdiction and has a certificate of authority to transact business or conduct its 
affairs in this state, must be active and current in filing its annual reports in the records of the department through 
December 31 of the calendar year in which the articles of interest exchange are submitted to the department for 
filing. 

CR2E134 (4/15) 

                              ARTICLES OF INTEREST EXCHANGE 
                                                            
Pursuant to section 605.1035, Florida Statutes, I hereby submit the following Articles of Interest Exchange: 
 
FIRST:  The name of the acquired limited liability company is:                                                             
 
The document number of the acquired entity is:                                                                             
 
SECOND: The name of the acquiring entity is:                                                                               
              
The jurisdiction of formation of the acquiring entity is:                                                                  
              
If applicable, the document number of the acquiring entity is:                                                             
              
The acquiring entity is a:                                                                                                 
                               (entity type:  corp, llc, lp etc.) 
              
THIRD:         The plan of interest exchange was approved by the acquired limited liability entity in accordance with the 
provisions of ss. 605.1031-605.1036 and by each member of such limited liability company who, as a result of the 
interest exchange, will have interest holder liability under s. 605.1033(1)(b) and whose approval is required. 
 
FOURTH:  The amendments, if any, to the acquired limited liability company’s public organic record approved as 
part of the plan of interest exchange are attached. 
             
(Check One) 
FIFTH:  ☐ The plan of interest exchange was approved by each acquiring entity that is a party to the interest               
                     exchange in accordance with the organic laws in its jurisdiction of formation, or 
              ☐The plan of interest exchange approval was not required 
 
SIXTH:  The acquiring entity has agreed to pay to any members of the acquired entity with appraisal rights the 
amount to which such members are entitled under ss. 605.1006 and 605.1061-605.1072. 
 
SEVENTH:  The effective date of the interest exchange, if the effective date of the interest exchange is not the 
same as the date of filing of the articles of interest exchange, subject to the limitations in s. 605.0207 is  
              
               (Effective date cannot be prior to the date of filing or more than 90 days after the date of filing) 
 
Note:  If the date inserted in this block does not meet the applicable statutory filing requirements, this date will not 
be listed as the document’s effective date on the Department of State’s records. 

_______________________________________                       ________________________________________ 
Signature of Authorized person-Acquired LLC                               Typed or printed name of signature 
                                                            
_______________________________________                       ________________________________________ 
Signature of Authorized person- Acquiring Entity                          Typed or printed name of signature 
                                
                               Filing Fee:                   $25.00 
                               Certified copy:   $30.00 (optional)