Box 1: Name
You must enter the name of your Florida LLC as it stood when the company was dissolved. If your company was dissolved more than one year previous to filing a reinstatment, it is possible that another company has now formed with your company’s name. If this is the case, you cannot change the name on the reinstatement. You must file an amendment with the Florida Registration Section.
Box 2: Principal Place of Business
You must list the physical address of your principal place of business (this cannot be a PO box).
When you hire Sunshine Corporate Filings® to be your Florida registered agent, you can use our Florida business address as the address of your principal office.
Box 3: Mailing Address
List your LLC’s mailing address.
We also offer our clients the option to use our Florida address for their business mail. (See our Florida mail forwarding service guide for more information.)
Box 4: Origin
List the name of the state or country (if not the US) in which your LLC was originally formed.
Box 5: Organization Date
You must list the original date of your LLCs organization with the Division of Corporations. If you’re reinstating a foreign LLC, this is the date of your foreign registration.
Box 6: FEIN
If your Florida LLC has a Federal Employer Identification Number, you must list this here.
Box 7: Status Request
If you are requesting a Certificate of Status after your reinstatement is processed, then you must check the box and pay a $5 fee. A Certificate of Status will be issued and sent to your LLC’s mailing address unless you include a cover letter that indicates a different address.
Box 8: Registered Agent
You must list the name and address of your current Florida registered agent. You cannot list a PO box.
Box 9: Signature of Registered Agent
The Division of Corporations requires that a reinstatement be signed by your registered agent. If you are submitting the reinstatement online, the name of the agent is considered a valid signature.
Box 10: Management
List the names and addresses of each manager or authorized representative of your Florida LLC.
Box 11: Email
This email address should be the address at which you wish to receive future LLC Annual Report notices.
Box 12: Signature
Signature must be of a manager or authorized representative listed in Box 10 (or by a trustee or receiver, if the LLC is in the hands of a receiver).
Where to Send the Reinstatement:
Division of Corporations
Registration Section
PO Box 6327
Tallahassee, FL 32314
