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Florida Annual Report Filing — Relux Filling

Payment is collected at the end of this form. Your filing is prepared only after payment is confirmed.

Section 1 — Contact Information

Full Name

Email Address

Phone Number

Section 2 — Business Information

Entity Name

Entity Number

EIN

Section 3 — Addresses

Principal Office Address

Mailing Address

Section 4 — Registered Agent

Who will be your Registered Agent?

Keep my current Registered Agent (enter the agent details below)

Use Relux Nexus LLC as my Registered Agent ($150 per year, included if you selected a Registered Agent service above)

Section 5 — Principals / Officers / Managers

Principal 1 - Full Name

Principal 1 - Title

Principal 1 - Address

Principal 2 - Full Name

Principal 2 - Title

Principal 2 - Address

Principal 3 - Full Name

Principal 3 - Title

Principal 3 - Address

Additional Principals (4 or more)

Section 6 — Service & Authorization

Service Requested

Section 7 - Signature and Authorization

Pursuant to s.817.155, Florida Statutes, it is a third-degree felony to knowingly file a false document with the Florida Department of State, Division of Corporations. For the purpose of filing documents online, the typed name of the individual signing the document is sufficient under s.15.16, Florida Statutes. Electronic signatures have the same legal effect as original signatures. Typing someone's name or signature without their permission constitutes forgery.

Signer Full Name

Signer Title

Additional Notes or Instructions

Required Acknowledgments

Authorization to File

I certify that I am an authorized representative, manager, officer, or other person legally empowered to execute this filing on behalf of the entity named above. I authorize Relux Nexus LLC and its designated agents to prepare and submit the information provided in this form electronically to the Florida Department of State, Division of Corporations, on my behalf. I affirm that all information provided is true, accurate, and complete, and I understand it will become part of the public record.

Independent Service Disclosure

I understand that Relux Nexus LLC is a private document-preparation and filing service and is not affiliated with, endorsed by, or acting on behalf of any government agency, including the Florida Department of State. I understand I may file directly at sunbiz.org for the state fee alone, and that the price I pay includes the state fee plus a separate service fee for Relux Nexus LLC's assistance.

No Legal Advice

I understand that Relux Nexus LLC is not a law firm or accounting firm and does not provide legal, tax, or financial advice. No attorney-client relationship is created. I am responsible for determining which filings my business needs and for consulting a licensed professional if I have questions.

Payment, Deadlines and Refunds

I understand that work begins only after payment is received in full. State fees are non-refundable once the filing has been submitted to the State. If I cancel before submission, the service fee is refunded. I remain solely responsible for all state deadlines, late fees, and penalties, including the $400 late fee the State of Florida applies to annual reports filed after May 1. Relux Nexus LLC is not responsible for delays caused by the State's systems, payment processors, or by incomplete or inaccurate information I provide.

Accuracy and Limitation of Liability

I am solely responsible for the accuracy of the information I submit, and Relux Nexus LLC relies on it without independent verification. Relux Nexus LLC's total liability for any claim related to this service is limited to the service fee I paid. I have read and agree to the Terms of Service and Privacy Policy.