2021 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT FILED

DOCUMENT# 705136 Jan 27, 2021

Entity Name: FLORIDA 4-H CLUB FOUNDATION, INC. Secretary of State
9818868160CC
Current Principal Place of Business:
1604 MCCARTY DR. RM 1040
UNIVERSITY OF FLORIDA
GAINESVILLE, FL 32611

Current Mailing Address:

PO BOX 110225
GAINESVILLE, FL 32611-0225 US

FEI Number: 59-1000186 Certificate of Status Desired: No

Name and Address of Current Registered Agent:
GUTTER, MICHAEL
1604 MCCARTY DR. RM 1040
UNIVERSITY OF FLORIDA
GAINESVILLE, FL 32611 US

The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.

SIGNATURE: MICHAEL GUTTER 01/27/2021

Electronic Signature of Registered Agent Date

Officer/Director Detail :
Title PRESIDENT Title COO
Name ELLIS, WHITNEY Name GUTTER, MICHAEL
Address 1898 TURNBERRY TERRACE Address 1604 MCCARTY DR. RM 1040
UNIVERSITY OF FLORIDA
City-State-Zip: ORLANDO FL 32804
City-State-Zip: GAINESVILLE FL 32611

Title PRESIDENT ELECT

Title VP
Name DAILEY, VALARIE
Name BUNDY, TODD
Address 5780 SW 20TH STREET
Address 2150 LONGVIEW DR.
City-State-Zip: OCALA FL 34474
City-State-Zip: TALLAHASSEE FL 32903

Title VP
Title COMPTROLLER
Name BASFORD, ADAM
Name HARTMAN, KATHRYN
Address 310 W. COLLEGE AVE.
Address 1604 MCCARTY DR. RM 1040
City-State-Zip: TALLAHASSEE FL 32301 UNIVERSITY OF FLORIDA
City-State-Zip: GAINESVILLE FL 32611
Title SECRETARY
Name HILTON, CAYLIN
Address PO BOX 110170
City-State-Zip: GAINESVILLE FL 32611

I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under
oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears
above, or on an attachment with all other like empowered.

SIGNATURE: HARTMAN, KATHRYN COMPTROLLER 01/27/2021

Electronic Signature of Signing Officer/Director Detail Date