Fillable Form Cr2e081 - Corporation Reinstatement

ALL APPLICATIONS NOT COMPLETED IN ACCORDANCE WITH THESE INSTRUCTIONS WILL

BE RETURNED FOR CORRECTION(S). PLEASE READ ALL INSTRUCTIONS CAREFULLY.

INSTRUCTIONS FOR COMPLETING THE REINSTATEMENT APPLICATION

Block 1

Enter the corporation name & document number on file with the Secretary of State in Block 1. The NAME of the corporation can be

changed only by filing an amendment.

Block 2

The principal address must be a street address. A Post Office Box can not be used for the principal address. A Post Office Box is

acceptable for the mailing address.

Block 3

Type or print the mailing address in Block 3.

Block 4

Enter the date of incorporation or qualification for this corporation.

Block 5

Complete Block 5 by entering your Federal Employer Identification (FEI) number or checking off the appropriate box. If “applied for”

was previously reported to this office, you MUST now include the FEI number or attach a photocopy of your application for the FEI

number to this form or this application will be rejected. Call Internal Revenue Service at 1-800-829-4933 for FEI assistance.

Block 6

Your cancelled check will be your filing acknowledgment unless a certificate of status is requested in Block 6 and an additional $8.75

is submitted to cover its fee. Certificates of status will be mailed to the corporate mailing address unless accompanied by a cover letter

indicating the name and address to whom the certificate should be mailed.

Block 7

Enter name of the registered agent and address. (The registered office address must be at a Florida street address.)

Block 8

The designated registered agent must indicate familiarity with Section 607.0505, F.S., or 617.0503, F.S., and acceptance of its

obligations and this appointment by completing and signing in Block 8. ALL REINSTATEMENTS MUST BE SIGNED BY THE

REGISTERED AGENT in accordance with Section 607.1422(1)(b) or 617.1422(1)(b), F.S. If the registered agent does not sign, the

application will be rejected.

Block 9

Type or print the current officers/directors in the space provided in Block 9. Attach a separate sheet if necessary. In column 1 use the

following or similar letters to designate appropriate corporate title(s): P=President, T=Treasurer, S=Secretary, V=Vice President,

D=Director, C=Chairman, M=Manager, etc. If a person holds more than one position, enter all positions, e.g. S/D, V/D, P/V/D. A

FLORIDA NONPROFIT CORPORATION MUST LIST ALL DIRECTORS (OR PERSON ACTING IN SUCH CAPACITY) THE

NUMBER OF WHICH MAY NOT BE LESS THAN THREE (3) DIRECTORS OR TRUSTEES WITH THEIR STREET ADDRESSES.

The letter “D” or “T” must appear beside the name and address of each director or trustee in the title portion. NOTE: A director must

be a natural person 18 years of age or older. Florida Statutes requires a physical street address be given. The provision of a post

office box in Block 9 is an affirmation under oath that no other address is available. If no officers/directors were previously given, they

must now be designated.

Block 10

Please provide an e-mail address. This address will be used for future annual report notifications.

This report must be signed by an officer or a director of the corporation that is listed in Block 9 or on an attachment. If the corporation

Block 11

is in the hands of a receiver, it must be signed by the trustee or receiver.

MAKE CHECKS PAYABLE TO DEPARTMENT OF STATE.

FEES:

PROFIT CORPORATION

NON-PROFIT CORPORATION

Reinstatement Fee

$175.00

$600.00

(for each year dissolve

$ 61.25

(for each year dissolved)

Annual Report Fee

$150.00

Minimum Amount Due

$236.25

$750.00

The annual report fee is due each year from the year of dissolution through the current year.

Mailing Address:

Courier Service Address:

Internet Address:

Divsion of Corporations

Division of Corporations

P.O. Box 6327

Clifton Building

Tallahassee, FL 32314

2661 Executive Center Circle

Tallahassee, FL 32301

Phone: (850) 245-6059

Hearing/Voice Impaired may call (850) 245-6096 (TDD)

CR2E081

Form Cr2e081 - Corporation Reinstatement - 2010 Page 3

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