2019 FLORIDA NOT FOR PROFIT CORPORATION AMENDED ANNUAL FILED

REPORT May 14, 2019

DOCUMENT# N94000001987 Secretary of State
Entity Name: FLORIDA 500 CLUB, INC. 9703635569CC
Current Principal Place of Business:
2956 NW 10 AVENUE
WILTON MANORS, FL 33311

Current Mailing Address:

2956 NW 10 AVENUE
WILTON MANORS, FL 33311 US

FEI Number: 59-3306530 Certificate of Status Desired: No

Name and Address of Current Registered Agent:
BROWN, PATSY F
2956 NW 10 AVENUE
WILTON MANORS, FL 33311 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: PATSY F. BROWN 05/14/2019

Electronic Signature of Registered Agent Date

Officer/Director Detail :
Title P Title S/T
Name WALDREN, ELLIZABETH Name BROWN, PATSY F
Address 1603 EAST PALMETTO AVENUE Address 2956 NW 10 AVENUE
City-State-Zip: DELAND FL 32724 City-State-Zip: WILTON MANORS FL 33311

Title V Title V
Name BRIDGER, SAGE Name MCKENZIE, KATHIE

Address 2804 VICTORIA WAY Address 5859 WESTBOURGH CT.

#B4
City-State-Zip: NAPLES FL 34112
City-State-Zip: COCONUT CREEK FL 33066

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: PATSY F. BROWN SECRETARY 05/14/2019

Electronic Signature of Signing Officer/Director Detail Date