Carlos E. Sandoval

Nonprofit Filing
If an effective date is required for this filing, enter here	//(MM/DD/YYYY)
Certificate of Status	$8.75 (Optional)
Certified Copy	$8.75 (Optional)
Corporate Name

Manner in which directors are elected:
As provided for in the bylaws.
	OR
List specific manner of election or appointment of directors in space below.
Principal Place of Business	(The principal address must be a street address)
Address
Suite, Apt. #, etc.
City, State	,
Zip Code & Country
Mailing Address
If your corporate mailing address is the same as the principal address above, please check the box below. Otherwise, enter your corporate mailing address.
Mailing address same as principal address
Address
Suite, Apt. #, etc.
City, State	,
Zip Code & Country
Name And Address of Registered Agent
Name (Last, First, Middle, Title)	,,, (Sr., Jr., etc...)
	- OR -
Business to serve as RA	(Must be different from entity name being filed)
Address	(PO Box not acceptable)
Suite, Apt. #, etc.
City, State	, FL
Zip Code & Country	US
The Registered Agent must type their name in the 'Registered Agent Signature' block below. RA signature MUST be an individual name. If the RA is a business entity, an individual must sign on the entity's behalf. Do not enter the name of the entity you are attempting to file as Registered Agent.A business entity cannot serve as its own RA.
Registered Agent Signature
This signature must be that of the individual "signing" this document electronically or be made with the full knowledge and permission of the individual, otherwise it constitutes forgery under s.831.06, Florida Statutes.
Incorporator Name And Address
Name
Address
Suite, Apt.#, etc.
City, State & Zip Code
Incorporator Signature
This signature must be that of the individual "signing" this document electronically or be made with the full knowledge and permission of the individual, otherwise it constitutes forgery under s.831.06, Florida Statutes. The individual "signing" this document affirms that the facts stated herein are true.
Corporate Purpose
(Maximum of 240 characters.)

Correspondence Name And E-mail Address
Name and e-mail address to whom correspondence pertaining to this filing should be e-mailed.
Name
E-mail Address
Officer/Director Name And Address
List the name and address of each officer/director now. A non-profit corporation must have 3 directors at all times. This information is required to open most back accounts and to obtain workers' comp exemption. Once this document is filed, any changes will require an amendment and an additional $35.00 filing fee.

Title	(P, VP, etc...)
Name (Last, First, Middle, Title)	,,, (Sr., Jr., etc...)
- OR -
Business Name to serve as Officer
Street Address
City, State	,
Zip Code & Country
Title	(P, VP, etc...)
Name (Last, First, Middle, Title)	,,, (Sr., Jr., etc...)
- OR -
Business Name to serve as Officer
Street Address
City, State	,
Zip Code & Country
Title	(P, VP, etc...)
Name (Last, First, Middle, Title)	,,, (Sr., Jr., etc...)
- OR -
Business Name to serve as Officer
Street Address
City, State	,
Zip Code & Country
Title	(P, VP, etc...)
Name (Last, First, Middle, Title)	,,, (Sr., Jr., etc...)
- OR -
Business Name to serve as Officer
Street Address
City, State	,
Zip Code & Country
Title	(P, VP, etc...)
Name (Last, First, Middle, Title)	,,, (Sr., Jr., etc...)
- OR -
Business Name to serve as Officer
Street Address
City, State	,
Zip Code & Country
Title	(P, VP, etc...)
Name (Last, First, Middle, Title)	,,, (Sr., Jr., etc...)
	- OR -
Business Name to serve as Officer
Street Address
City, State	,
Zip Code & Country
Please review the filing for accuracy. If you need to make corrections, do so at this time. The filing information will be added/edited exactly as you have entered it. Once you have submitted the information, your filing cannot be updated, removed, cancelled or refunded.

Nonprofit Filing

Mailing Address

Incorporator Name And Address

Officer/Director Name And Address