FLORIDA DEPARTMENT OF STATE  
                                                  DIVISION OF CORPORATIONS 
 
Attached is a form for filing Articles of Amendment to amend the articles of incorporation of a Florida Profit Corporation, Florida 
Profit Benefit Corporation or Florida Profit Social Purpose Corporation pursuant to section 607.1006, Florida Statutes.  This is a 
basic amendment form and may not satisfy all statutory requirements for amending. 
 
A corporation can amend or add as many articles as necessary in one amendment. 
 
       The original incorporators cannot be amended. 
 
       If amending the name of the corporation, the new name must be distinguishable on the records of the Florida Department of 
        State.   A preliminary search for name availability can be made through the Division’s website at www.sunbiz.org.  You are 
        responsible for any name infringement that may result from your corporate name selection. 
  
       If amending the registered agent, the new agent must sign accepting the appointment and state that he/she is familiar with the 
        obligations of the position. 
  
       If amending/adding officers/directors, list titles and addresses for each officer/director. 
  
       If amending from a general corporation to a professional corporation, the purpose (specific nature of business) must be 
        amended or added if not contained in the articles of incorporation. 
 
If a section is not being amended, enter N/A or Not Applicable. 
The document must be typed or printed and must be legible. 
 
Pursuant to section 607.0123, Florida Statutes, a delayed effective date may be specified but may not be later than the 90 thday after 
the date on which the document is filed.  
 
        Filing Fee                                  $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 call the Amendment Section at (850) 245-6050 
 
INHS78 (6/14) 
 

                                                          COVER LETTER 
 
TO: Amendment Section 
        Division of Corporations 
 
NAME OF CORPORATION:                                                                                                          
 
DOCUMENT NUMBER:                                                                                                              
 
The enclosed Articles of Amendment 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 
                                                                              
                                            E-mail address: (to be used for future annual report notification) 
                                                                              
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 made payable to the Florida Department of State: 
 
  $35 Filing Fee              $43.75 Filing Fee &      $43.75 Filing Fee &                      $52.50 Filing Fee  
                                   Certificate of Status     Certified Copy                            Certificate of Status 
                                                                             (Additional copy is       Certified Copy                            
                                                                   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 Amendment  
                                                                                                         to 
                                                                         Articles of Incorporation 
                                                                                                         of 
                                                                                                          
                         (Name of Corporation as currently filed with the Florida Dept. of State                         ) 
 
                                                  (Document Number of Corporation (if known) 
 
Pursuant to the provisions of section 607.1006, Florida Statutes, this                                      corporation adopts the following amendment(s) to its Articles of 
Incorporation: 
 
A.  If amending name, enter the new name of the corporation: 
 
                                                                                                                                                            The new 
name must be distinguishable and contain the word “corporation,” “company,” or “incorporated” or the abbreviation “Corp.,” 
“Inc.,” or  Co.,” or the designation “Corp,” “Inc,” or  “Co”.    A  professional corporation name must contain the word 
“chartered,” “professional association,” or the abbreviation “P.A.” 
 
B.  Enter new principal office address, if applicable:                                                                                                      
(Principal office address MUST BE A STREET ADDRESS )    
                                                                                                                                                              
C.   Enter new mailing address, if applicable:               
      (Mailing address MAY BE A POST OFFICE BOX                        )                                                                                    
 
D.  If amending the registered agent and/or registered office address in Florida, enter the name of the  
      new registered agent and/or the new registered office address: 
 
              Name of New Registered Agent                                                                                  
                
                                                                                (Florida street address)                 
         
              New Registered Office Address:                                                                             , Florida                           
                                                                                 (City)                                                         (Zip Code) 
             
New Registered Agent’s Signature, if changing Registered Agent: 
I hereby accept the appointment as registered agent.   I am familiar with and accept the obligations of the position. 
                                                                   
                                                              Signature of New Registered Agent, if changing    
 
                                                                                Page 1 of 6 
 

If amending the Officers and/or Directors, enter the title and name of each officer/director being removed and title, name, and 
address of each Officer and/or Director being added: 
(Attach additional sheets, if necessary) 
Please note the officer/director title by the first letter of the office title: 
P = President; V= Vice President; T= Treasurer; S= Secretary; D= Director; TR= Trustee; C = Chairman or Clerk; CEO = Chief 
Executive Officer; CFO = Chief Financial Officer.  If an officer/director holds more than one title, list the first letter of each office held. 
President, Treasurer, Director would be PTD. 
Changes should be noted in the following manner.  Currently John Doe is listed as the PST and Mike Jones is listed as the V. There is 
a change, Mike Jones leaves the corporation, Sally Smith is named the V and S. These should be noted as John Doe, PT as a Change, 
Mike Jones, V as Remove, and Sally Smith, SV as an Add. 
Example: 
  X Change             PT     John Doe  
 
  X Remove             V      Mike Jones 
 
  X  Add               SV     Sally Smith   
 
Type of Action          Title            Name                                                                                        Address   
(Check One) 
 
1)           Change                                                                                                                                           
 
               Add                                                                                                                                                                                        
 
               Remove                                                                                                                                                                                   
       
2)           Change                                                                                                                                           
 
               Add                                                                                                                                                                                        
 
               Remove                                                                                                                                                                                   
3 )           Change                                                                                                                                          
 
               Add                                                                                                                                                                                        
 
               Remove                                                                                                                                                                                   
  
4)           Change                                                                                                                                           
 
               Add                                                                                                                                                                                        
 
               Remove                                                                                                                                                                                   
 
5)           Change                                                                                                                                           
 
               Add                                                                                                                                                                                        
 
               Remove                                                                                                                                                                                   
 
6 )           Change                                                                                                                                          
     
               Add                                                                                                                                                                                        
 
               Remove                                                                                                                                                                                   
                                           

                                               Page 2 of 6 
E.   FLORIDA PROFIT BENEFIT CORPORATION OPTIONS, IF APPLICABLE:                      
    The corporation, in accordance with the required minimum status vote, elects to be a Florida Profit Benefit Corporation in 
     accordance with s. 607.604, F.S.  
     The purpose for which the benefit corporation is organized is to create a general public benefit and: 
 
     The general and/or specific public benefit(s) to be created by the corporation (in addition to its general purpose) is/are as 
     follows (optional): 
      
     The additional qualifications of Benefit Director(s), if any, are as follows:                                    
 
     The name(s) and address(es) of the Benefit Director(s) and/or Benefit Officer(s), if any: 
     Name and Title:                                       Name and Title:                                            
 
     Address:                                              Address:                                                   
      
                                        (Include attachment if necessary) 
 
    The corporation, in accordance with the required minimum status vote, terminates its status as a Florida Profit Benefit 
     Corporation in accordance with s. 607.605, F.S. The revised purpose for which the corporation is organized is as follows:  
 
     The additional qualifications of Benefit Director(s), if any, are no longer applicable and are hereby deleted. 
                                           
                                         Page 3 of 6 

F.   FLORIDA PROFIT SOCIAL PURPOSE CORPORATION OPTIONS, IF APPLICABLE: 
 The corporation, in accordance with the required minimum status vote, elects to be a Florida Profit Social Purpose 
  Corporation in accordance with s. 607.504, F.S. The business purpose for which the social purpose corporation is organized  
 
  is:                                                                                                                        
 
  The public benefit for which the corporation is organized is: 
 
  The specific public benefit(s) to be created by the corporation (in addition to the above) is/are as follows (optional):  
 
  The additional qualifications of Benefit Director(s), if any, are as follows:                                              
 
  The name(s) and address(es) of the Benefit Director(s) and/or Benefit Officer(s), if any: 
  Name and Title:                                               Name and Title:                                              
 
  Address:                                                      Address:                                                     
   
                      (Include attachment if necessary) 
 
 The corporation, in accordance with the required minimum status vote, terminates its status as a Florida Profit Social Purpose 
  Corporation in accordance with s. 607.505, F.S. The revised purpose for which the corporation is organized is as follows: 
 
  The additional qualifications of Benefit Director(s), if any, are no longer applicable and are hereby deleted. 
   
                       Page 4 of 6 
   

G.    If amending or adding additional Articles, enter change(s) here:  
       (Attach additional sheets, if necessary).     (Be specific) 
 
H.  If an amendment provides for an exchange, reclassification, or cancellation of issued shares, 
 provisions for implementing the amendment if not contained in the amendment itself:   
        (if not applicable, indicate N/A) 
 
                                                                 Page 5 of 6 
 

The date of each amendment(s) adoption:                                                                                           , if other than the 
date this document was signed.  
 
Effective date if applicable:                                                                                                      
                                                                               (no more than 90 days after amendment file date) 
 
Adoption of Amendment(s)                       (CHECK ONE) 
 
 The amendment(s) was/were adopted by the shareholders.  The number of votes cast for the amendment(s)   
      by the shareholders was/were sufficient for approval.  
   
 The amendment(s) was/were approved by the shareholders through voting groups.  The following statement  
      must be separately provided for each voting group entitled to vote separately on the amendment(s):            
           
           “The number of votes cast for the amendment(s) was/were sufficient for approval                                   
            
           by                                                                                           .” 
                                                                      (voting group) 
 
 The amendment(s) was/were adopted by the board of directors without shareholder action and shareholder  
     action was not required. 
  
 The amendment(s) was/were adopted by the incorporators without shareholder action and shareholder  
     action was not required. 
    
                             Dated                                                                     
 
                             Signature                                                                                             
                                             (By a director, president or other officer – if directors or officers 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) 
    
                                                                                         Page 6 of 6