BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL_ 33301-1895 — 954-831-4000 VALID OCTOBER 1,2016 THROUGH SEPTEMBER 30,2017 FERNANDO GOMEZ INC Receipt #:274-278924 hier’ SHGe WoODHORK (FRA Business Type: Pa ee ‘Owner Name: =ERWANDO GOMEZ Business Opened:08 /15/2015 Business Location: 1507 CooLIcE sv State/County/CertiReg: HOLLYWOOD Business Phone: Rooms Exemption Code: Employooe. Machines 3 Number of Machines: or Vending Business O17 Vonding Type: Transter Feo. NSE Fee Pena Piocveers — | Colneion Goa | Tota Pa] 0.00 0.00 0.00 0.00 0.00 35.00] THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED. Mailing Address: FERNANDO GOMEZ 1507 COOLIGE ST HOLLYWOOD, FL 33020 ‘Tris taxis levied for the privilage of doing business within Broward County and is ‘Nonregulatory in nature. You must meet ali County andior Municpalty planning ‘and zoning requirements. This Business Tax Recelpt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that itis in compliance with State or local laws and regulations, Receipt #52a-15-00009136 Paid 08/23/2016 45.00 2016 - 2017 RN_COLNTY LOCAL BISINES2553 Election by a Small Business Corporation fm: (Under section 1982 ofthe intemal Revenue Code) (Pe. Daconber 015 > See Part ane ilon page 2. Dio te reey > You can fx tis for tothe IRS (see separ instructions). Ionut sarce” | tnormation about fom 2553 and ts sopaate incre at www. fonmQaa. Note. This election io be an $ corporation can be accepted cry ial the tests are mat under Who May Elect ithe Hevuctons, al shareholders have signed the consent statement, an officer has signed below, and the exact name and adress ofthe corporation (entity and other requird fom information have ben provided lection information ae bw tos Tr SRS aT fernando gomes, ne 1913603069 Type he Ha ma Sanam aPC aoa eT TBs heopst fr Print |1s07 coounce st onnezon6 Oa owns dF Se oa aaaan HOLLYWOOD, FL 33020 ‘DGhsak the apabe bois) ta corporation ey), er appWS ar he EN shown a Aabove, changed Is CT name or LT adress E Election i to bo affocv fr tax year begining month, day, yar (se insictions) > care Caution. A corporation entity) making the aleton fore frst tax yearn existence wl Usk hts the ‘eginning date ofa short tax yar that begins ona date other then Janay F Selected tax year () Dl Calendar ye (2) Fiscal year ening month ane day) (©) 1). s2-s3-weck year ending wih reterence io the morth of December (@) C1 52-0-week year ending with reference tothe month of 1 box 2) or) sheoked, complete Part I ‘5 mor than 0 shareholders ae ted orm J (ee page 2), Check tis box f weaing members ofa Tar as Ge shareholder results in no more than 100 shareholders (see tet 2 under Who May lectin he instructions) C] Nam and ts of offcer or legs represariative who th TRS may cal fr moreifarmation — | Telephone norsGer of ofr or egal representative Feenonde gomes (950 806-1730, this corporation sections sing fl at, | dciare tha ha raasonable cause for not ling Form 2559 tel, an tis lato elections bang mace by an ety eghle to elect tobe traated asa corporation, | declare thet | also had reasonable cause for not fling an eniycassiication election timely and thatthe rerasertatons Isto in Pat IV are tuo, Sea Below for my explanation of the roasore the election or elections wore not mage on te ana descrinton of my cilgat actions to correct the mistake upon is covery (sa instructions). Uncer porate of puny, | deci that have xamine he alton, holudng secoreanying docu aoe bos of my ‘Sign| snovleage end Sate, he esionconsina i he relevant ctr fo te seco, and suc ects ae tue are, and epi, ork Reduction Act Nolce, sea separate nsiricons en a Fee 2558 fan THElectronic Articles of Incorporation P16000068262 For August 17, 2016 01 just 17, See" Of State Vherring, FERNANDO GOMEZ, INC. The undersigned incorporator, for the purpose of forming a Florida Profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is FERNANDO GOMEZ, INC. Article IT The principal place of business address: 1507 COOLIDGE ST HOLLYWOOD, FL, US 33020 The mailing address of the corporation is: 1507 COOLIDGE ST HOLLYWOOD, FL. US 33020 Article I The purpose for which this corporation is organized is: SERVICES Article [V ‘The number of shares the corporation is authorized to issue is: 2000 Article V The name and Florida street address of the registered agent is DENISE BARTON 225 E. ROBINSON STREET SUITE 370 ORLANDO, FL. 32801 Tertify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: DENISE BARTONP16000068262 FILED 1 16 Article VI Qugust 17,20 The name and address of the ineorporator is: Vherring FERNANDO GOMEZ, 1507 COOLIDGE ST HOLLYWOOD FL, 33020 Electronic Signature of Incorporator:. FERNANDO GOMEZ {im the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true; 1 am aware tha flse information submitted ina document fo the Department of Sore ae third degree felony as provided for in s.817.155, F.S. T understand the requirement to file an annual Teport petween January Ist and May Ist in the ealendar year following formation ofthis corporation and every ‘year thereafter fo maintain "active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: PD FERNANDO GOMEZ 1507 COOLIDGE ST HOLLYWOOD, FL. 33020 US Article VITI The effective date for this corporation shall be 08/16/2016(Pav. December 2014) Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not Pore any send to the IRS. a YE AGATE TN TAT H A T B oF ana aw Fe a| Fernando Aomes Inc. £173 create box rider ox clnafcaton, deka one ae loin soe owes Epis Coma oe 5] Clnsicuatoepeeierae — C) Ccommaim [A Scamoatn (] Patan Clabes | attra pane B3| Coitmaatannyconpany. tert in cnetestn ©-C crponton, $8 compartion Peps) ramet payer code ar), 5 | neta ropa sraeentar iC tat gouged dom chose LC; chsh appt ox nao | Ex EM FATA ropa 2a] _ ttatdesmainenee agsiears come a E2| Cooma tosinnctong por § [pias ponte ae a Sy Togas Ta a ais po RL [sox Coolidae SV iy ond a - WoWyGood cf 23020 7 Cat ros rote Fors ra [Part | ‘Taxpayer Identification Number (TIN) Enter your TN in te appropriate box. The TIN provided must msich te name Gen on ina 7 to avoid | Saela weary namber Dachup withholding. For ingviduals, this ie goneraly your social eocurty number (SSN). However, fora Fesident alien, sole proprietor. of dsregarded enti, soe the Part |instnuctions on page 3. For other - 5| tes, it fs your employer isanstetion number (Ei), You do not have a numer, £00 ew fo got a TW on page oF Note, Ifthe accourtis in more than one name, 8 the instructions for ne 1 and the chert on page 4for [EmsloyerRentestion numbor ‘uldsines on whose number to enter gli | -Bldda Sef [EI Certification Under penalties of perjury, cory hak 1. The number shown on this form is my core taxpayer kéntfcation number (or Lam walting fora number tobe issu Yo me; and 2. Lam not subject to backup withholding because: () | am exempt from backu withholding, oF) Lhave nt been noted bythe ntemel Revenue ‘Service (RS) that | am subject to backup winolding as a result ofa aiure to repor al intrest or vende, crf) te IRS has noted me that | a no longer subject to backup withholding: and 3. Lam a US. ctizen or other U.S. person fefined belowl and 4. The FATCA code(s entered on ths form if an) indicating that am exempt fram FATCA reporting is comect, ertiication instructions. You must cross out item 2 above you have boon notified bythe IRS that you are curently subject to backup withholding Because you have failed te report al interest and dividends on your tax retum For realestate ransactions tem 2 does not apply, For mortgage Interest paid, acquistion o& abandonment of secured property, cancelalion of dst. contutions toa ndvidual reer arangeman (RA), and ‘generally, payments other than interest and dvidends, you are not required to sign the cartiesion, Gut You must provide yout correct TIN, See the instructions on page & = pce : me [see Ces Here General Instructions ‘Seaton ferences we othe Ital Revenue Code unless otherwie not Future developments. Information about dovsepment sing Fam W euch [lopoiton anaced dere roe ® ar route Purpose of Form ‘An int or any (Form W aqua who eget es ieraon ‘ure win tho st clan your eoect axpayerISeseaton rome (TN) ‘ich may be yur son secur umber (Sh) au exper aeaeton moe), aooton expayeraartneaon nanbee AI Sr ompiyer [Geraresnonnaber Nf report on an oman retur e emo pal 0 You, or ser aun faporabs oan ration een Example stroman Tete ie uta nt Bt oto folowing ‘Fem 10904NT fetret erro i + Form 199-01 (and, inucing ths fom stocks or muta funds) “Form 1038-415 (various types of nome, rzs, ards oF gos ECeee) + Ferm 109-0 tock or mutual ud sales and cern oer wanton by trove! + Ferm 10998 Groce rom ra ectate ensactons) + Form 1090:K erchant card an ie party network actin) owe OG] “Form 108 hme merigage intros, 1096 atc oan wrest, 1098-7 sen 1 Ferm 109-6 lees dt) ‘Ferm 109-8 equhiten or abandonment ecu prope) se Form W-9 ery you sea US. person fring 3 redone to prise your corsa you do net ret Form W-9 tthe requester wih & TN, yu might be ebjot to buclup wtolsna Soe Wns back whiting? on Pane 2 By gang the filed ern, you 4.caraty that eT yu ae ging sear (or you toboisued, 2, Cory hat you weno subj to backup wile, ot 3, Gaim exemption om pack wanaidng youre aU. examet pays. sepia oe aoe cing aiansus ono yor ise ral ‘thhedng fax on frig panes snare aietvay connected some rd 4. Carty et PATCA cod) antareaon th fr tay renting thet you re coxarptto the FAICA rparing i saves Sos Whats PATCA mporeng co ago voruer rvomatn, wating fr number reer Form WD how 12207)