Cover Letter TO:: Mailing Address: Street Address
Cover Letter TO:: Mailing Address: Street Address
SUBJECT:
Name of Limited Liability Company
The enclosed Articles of Interest Exchange and fee(s) are submitted for filing.
Name of Person
Firm/Company
Address
at ( )
Name of Person Area Code Daytime Telephone Number
Important Notice: Pursuant to s. 605.0212 (11), F.S., as a condition of an interest exchange between a limited
liability company and another entity under s. 605.1031, the limited liability company and each other entity that is a
party to the interest exchange which exists under the laws of this state, and each party to the interest exchange which
exists under the laws of another jurisdiction and has a certificate of authority to transact business or conduct its
affairs in this state, must be active and current in filing its annual reports in the records of the department through
December 31 of the calendar year in which the articles of interest exchange are submitted to the department for
filing.
CR2E134 (4/15)
ARTICLES OF INTEREST EXCHANGE
Pursuant to section 605.1035, Florida Statutes, I hereby submit the following Articles of Interest Exchange:
THIRD: The plan of interest exchange was approved by the acquired limited liability entity in accordance with the
provisions of ss. 605.1031-605.1036 and by each member of such limited liability company who, as a result of the
interest exchange, will have interest holder liability under s. 605.1033(1)(b) and whose approval is required.
FOURTH: The amendments, if any, to the acquired limited liability company’s public organic record approved as
part of the plan of interest exchange are attached.
(Check One)
FIFTH: ☐ The plan of interest exchange was approved by each acquiring entity that is a party to the interest
exchange in accordance with the organic laws in its jurisdiction of formation, or
☐The plan of interest exchange approval was not required
SIXTH: The acquiring entity has agreed to pay to any members of the acquired entity with appraisal rights the
amount to which such members are entitled under ss. 605.1006 and 605.1061-605.1072.
SEVENTH: The effective date of the interest exchange, if the effective date of the interest exchange is not the
same as the date of filing of the articles of interest exchange, subject to the limitations in s. 605.0207 is
(Effective date cannot be prior to the date of filing or more than 90 days after the date of 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.
_______________________________________ ________________________________________
Signature of Authorized person-Acquired LLC Typed or printed name of signature
_______________________________________ ________________________________________
Signature of Authorized person- Acquiring Entity Typed or printed name of signature