FLORIDA DEPARTMENT OF STATE  
                                                  DIVISION OF CORPORATIONS 
 
Attached are the instructions to register a foreign limited liability company to transact business in Florida.  The requirements are as 
follows: 
 
         Pursuant to s. 605.0902, Florida Statutes, the attached application must be completed in its entirety. 
 
         The foreign limited liability company must submit certificate of existence, no more than 90 days old, duly authenticated by the 
         official having custody of records in the jurisdiction under the law of which it is organized. If the certificate is in a foreign 
         language, a translation of the certificate under oath of the translator must be submitted. 
          
        The name of a limited liability company must be distinguishable on the records of the Florida Department of State. If the name of 
         your limited liability company is not distinguishable on our records, you must adopt an alternative name to use in the state of 
         Florida.  
 
        The name of a limited liability company in the state of Florida must contain the words “Limited Liability Company,” The 
         abbreviation “L.L.C.,” or the designation “LLC.” 
          
             A preliminary search for name availability can be made on the Internet through the Division’s records at www.sunbiz.org.             
    Preliminary name searches and name reservations are no longer available from the Division of Corporations. You are          
             responsible for any name infringement that may result from your name selection.  
 
         The fees to register are as follows: 
 
                   $ 100.00     Filing Fee for Application   
                   $   25.00     Designation of Registered Agent 
                   $   30.00     Certified Copy (optional) 
                   $     5.00     Certificate of Status (optional) 
 
   Important Information About the Requirement to File an Annual Report  
         All Foreign Limited Liability Companies must file an Annual Report yearly to maintain “active” status.  The first report is 
         due in the year following formation. The report must be filed electronically online between January 1 stand May 1 .stThe fee 
         for the annual report is $138.75. After May 1 sta $400 late fee is added to the annual report filing fee. “Annual Report 
         Reminder Notices” are sent to the e-mail address you provide us when you submit this document for filing. To file any time 
         after January 1st, go to our website at www.sunbiz.org. There is no provision to waive the late fee. Be sure to file before May 
         1st.  
 
         A letter of acknowledgment will be issued free of charge upon registration.  Please submit one check made payable to the Florida 
         Department of State for the total amount of the filing fee and any optional certificate or copy. 
 
         A COVER letter should be submitted along with the application, certificate, and check. The mailing address and courier address                  
are noted below. 
 
Any further inquiries concerning this matter should be directed to the Registration Section by calling (850) 245-6051. 
          
         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 
CR2E027 (1/19) 
                                                                      

                                                                COVER LETTER 
                                                                     
TO: Registration Section 
    Division of Corporations 
 
SUBJECT:                                                                                                                                
                                                                                   Name of Limited Liability Company 
                                                                     
The enclosed "Application by Foreign Limited Liability Company for Authorization to Transact Business in Florida," Certificate of 
Existence, and check are submitted to register the above referenced foreign limited liability company to transact business in Florida. 
 
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 Contact 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 
 
    Enclosed is a check for the following amount: 
    Please make check payable to: FLORIDA DEPARTMENT OF STATE 
    ☐ $125.00 Filing Fee       ☐ $130.00 Filing Fee &            ☐     $155.00 Filing Fee &                           ☐ $160.00 Filing Fee, Certificate 
                                              Certificate of Status      Certified Copy                     of Status & Certified Copy 
     

  APPLICATION BY FOREIGN LIMITED LIABILITY COMPANY FOR AUTHORIZATION TO TRANSACT BUSINESS 
                                                                                   IN FLORIDA 
  
 IN COMPLIANCE WITH SECTION 605.0902, FLORIDA STATUTES, THE FOLLOWING IS SUBMITTED TO REGISTER A FOREIGN  LIMITED LIABILITY 
 COMPANY TO TRANSACT BUSINESS  IN THE  STATE OF FLORIDA: 
  
 1.                                                                                                                                                                                                                                
                     (Name of Foreign Limited Liability Company; must include “Limited Liability Company,” ”L.L.C.,” or “LLC.”) 
  
 (If name unavailable, enter alternate name adopted for the purpose of transacting business in Florida. The alternate name must include “Limited Liability Company,” “L.L.C,” or “LLC.”) 
  
 2.                                                                                      3.                                                                                                                                        
        (Jurisdiction under the law of which foreign limited liability company is organized)                                                                           (FEI number, if applicable) 
  
 4.                                                                                                                                                                                                                             
                                          (Date first transacted business in Florida, if prior to registration.) 
                                             (See sections 605.0904 & 605.0905, F.S. to determine penalty liability) 
  
 5.                                                                                6.                                                                                                                                                                                 
 (Street Address of Principal Office)                                                                                                 (Mailing Address) 
  
 7.  Name and street address of Florida registered agent:  (P.O. Box  NOT acceptable) 
  
              Name:                                                                                                                    
  
             Office Address:                                                                                                           
  
                                                                                                                                       , Florida                                                                                
                                                                                                                         (City)                                                                                    (Zip code)  
  
 Registered agent’s acceptance: 
 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place 
 designated in this application, I hereby accept the appointment as registered agent and agree to act in this capacity.  I further agree 
 to comply with the provisions of all statutes relative to the proper and complete performance of my duties, and I am familiar with 
 and accept the obligations of my position as registered agent. 
  
                                                     (Registered agent’s signature) 
  

 8.  For initial indexing purposes, list names, title or capacity and addresses of the primary members/managers or persons authorized to 
manage [up to six (6) total]: 
 
Title or Capacity:            Name and Address:        Title or Capacity:                                                        Name and Address: 
              
☐Manager          Name:                               ☐Manager                                                         Name:                        

☐Member           Address:                            ☐Member                                                          Address:                     

☐Authorized                                           ☐Authorized                                                                                   

     Person                                                 Person                                                                                  

☐Other                        ☐       Other           ☐Other                                                                     ☐Other             

☐Manager          Name:                               ☐Manager                                                         Name:                        

☐Member           Address:                            ☐Member                                                          Address:                     

☐Authorized                                           ☐Authorized                                                                                   

     Person                                                 Person                                                                                  

☐Other                        ☐       Other           ☐Other                                                                     ☐Other             

☐Manager          Name:                               ☐Manager                                                         Name:                        

☐Member           Address:                            ☐Member                                                          Address:                     

☐Authorized                                           ☐Authorized                                                                                   

     Person                                                 Person                                                                                  

☐Other                        ☐       Other           ☐Other                                                                     ☐Other             

Important Notice: Use an attachment to report more than six (6). The attachment will be imaged for reporting purposes only. Non-
indexed individuals may be added to the index when filing your Florida Department of State Annual Report form. 
 
9. Attached is a certificate of existence, no more than 90 days old, duly authenticated by the official having custody of records in the 
jurisdiction under the law of which it is organized. (If the certificate is in a foreign language, a translation of the certificate under oath 
of the translator must be submitted)  
 
10. This document is executed in accordance with section 605.0203 (1) (b), Florida Statutes. I am aware that any false information 
submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. 
 
                                                                                Signature of an authorized person 
                     
                                                                        Typed or printed name of signee