‘Requestor Name)
Taree)
Taras)
TiySiateZipiPhone A
Creve = Q]war MAL
Tres Siti Name)
Document Number)
Certified Copies. Cortticates of Status,
‘Special Instructions to Filing Officer:
A. LUNT
NOV 20-2010
EXAMINER
Office Use Only
I
900187862949
14419/10--O1025- 0: 7 #850, 00
She Hd UW AONOIOZ
G3 1d: COVER LETTER
TOs” Registration Seetion
Division of Corporations i
supsEcT: SELFMOUNT TOC 1604, LLC
‘Name of Limited Liability Company
‘The enclosed Articles of Amendment and (ee(s) are submitted for filing
Please return all correspondence concerning this matter tothe following:
Richard P. Breger, Esq.
‘Name of Peon
Richard P. Breger, P.A.
inn/Company
20801 Biscayne Boulevard, Suite 308
‘Aires s
Aventura, FL_33180 Ss
iSite and Zip Code =
3
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For further information concerning this matter, please call: @.
=
a
Richard Breger (305) 945-7527
ame of Person rea Gide & Davie Telephone Number
Enclosed is a check forthe following amount:
1)s25.00 Filing Fee 530.00 Filing Fee & — [[J855.00 Filing Fee & [860.00 Fitng Fee,
‘Cenifcate of Satus Cenitied Copy Cerificate of Status &
(@cdditional copy is enclosed) Certified Copy
(adsitional copy is enclosed)
MAILING ADDRESS: STREET/COURIER ADDRESS:
Registration Section Registration Section
Divisfon of Corporations Divisi
P.O. Box 6327 CiNon Building
Tallahassee, FL 32314
‘of Corporations
2661 Executive Center Circle
‘Tallahassee, FL 32301
Gaus‘ . ARTICLES OF AMENDMENT
yeaa TO
ARTICLES OF ORGANIZATION 2
or an.
Cie
‘The Articles of Organization for this Limited Liability Company were filed on
Florida document number. 10000115685
‘This amendment is submitted to amend the following:
A. [amending name, enter the new name of the limited liability company here:
or the abbreviation
‘The new name must be distinguishable and end with the words "Limited Liability Company,” the desigaation “Ll
“Lic”
Enter new principal offices address, if applicable:
ipal office address MUST BE A STREET A 8)
Enter new mailing address, if applicable: saaseaecce cece easeaeeeeaaseseeeeeesessaneeeee
(Waiting address MAY BE A POST OFFICE BOX) pas eeeeceeeeeeteseseeEee
B. {f amending the registered agent and/or registered office address on our records, enter the name
registered agent and/or the tered office address here:
Name of New Registered Agent:
Now Registered Oifice Address:
Enter Florida street address
. Florida
cig) Zip Code
New Resi 's Signature, if changing Registered As
T hereby accept the appointment as registered agent and agree to act in this capacity. I farther 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 as provided for in Chapter 608, F-S. On, ifthis document is
being fled 1o merely reflect a change in the registered office address, I hereby confirm that the limited liability
company has been notified in writing of this change.
‘We Changing Registered Agent, Signature of New Registered Agent —
Page 1 of 2Af amending the Managers or M:
or Manggin; yer Being added or removed from o
MGRM = Managing Member
‘Title Name
MGR__ ELLA VLADIMIROVNA KOPYSHEVSKAYA
haa
JRemove
D. Ifamending any other information, enter change(s) here: (Attach additional sheets, ifnecessary,)
Dated November18 ss, 2010,
‘Signature of a member or auhorizad representative of @ ember
Mikhail Belovolov
“Typed oF printed name of Signee
Page 2 of 2
Filing Fee: $25.00
jing Members on our records, enter the title, name, and address of cach Manager,