Articles Of Incorporation (Not For Profit) - Florida Division Of Corporations Page 5

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Name and Title:
Name and Title:
Address
Address:
Name and Title:
Name and Title:
Address
Address:
ARTICLE VI
REGISTERED AGENT
The name and Florida street address (P.O. Box NOT acceptable) of the registered agent is:
Name:
Address:
ARTICLE VII
INCORPORATOR
The name and address of the Incorporator is:
Name:
Address:
ARTICLE VIII EFFECTIVE DATE:
Effective date, if other than the date of filing:
. (OPTIONAL)
(If an effective date is listed, the date must be specific and cannot be more than five days prior or 90 days after the 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.
Having been named as registered agent to accept service of process for the above stated corporation at the place designated in this
certificate, I am familiar with and accept the appointment as registered agent and agree to act in this capacity
Required Signature of Registered Agent
Date
I submit this document and affirm that the facts stated herein are true. 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.
Required Signature of Incorporator
Date

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