2008 NOT-FOR-PROFIT CORPORATION REINSTATEMENT

## DOCUMENT# N96000002084



FILED
Nov 03, 2008
Secretary of State


**Entity Name:** THE KONI FOUNDATION, INC.

## Current Principal Place of Business:

New Principal Place of Business:



1 CLEARLAKE CENTER, #1402

250 AUSTRALIAN AVENUE

WEST PALM BEACH, FL 33401



## Current Mailing Address:

New Mailing Address:

3265 LAWSON BLVD

OCEANSIDE, NY 11572

| FEI Number: 65-0676162 | FEI Number Applied For ( ) | FEI Number Not Applicable ( ) | Certificate of Status Desired ( ) |

| :--- | :--- | :--- | :--- |

| In accordance with s. 607.193(2)(b), F.S., the corporation did not receive the prior notice. | | | |

## Name and Address of Current Registered Agent:

| WEST PALM BEACH, FL | 33401 | 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.

<table border="1"><tr><td colspan="2">Electronic Signature of Registered Agent</td><td colspan="2">Date</td></tr><tr><td colspan="2">OFFICERS AND DIRECTORS:</td><td colspan="2">ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS:</td></tr><tr><td>Title:</td><td>D( ) Delete</td><td>Title:</td><td>( ) Change( ) Addition</td></tr><tr><td>Name:</td><td>SIEGEL, HOWARD</td><td>Name:</td><td></td></tr><tr><td>Address:</td><td></td><td>Address:</td><td></td></tr><tr><td>City-St-Zip:</td><td></td><td>City-St-Zip:</td><td></td></tr><tr><td>Title:</td><td>D( ) Delete</td><td>Title:</td><td>( ) Change( ) Addition</td></tr><tr><td>Name:</td><td>KAPNER, LEWIS</td><td>Name:</td><td></td></tr><tr><td>Address:</td><td>250 AUSTRALIAN AVENUE</td><td>Address:</td><td></td></tr><tr><td>City-St-Zip:</td><td>WEST PALM BEACH, FL 33401</td><td>City-St-Zip:</td><td></td></tr><tr><td>Title:</td><td>D( ) Delete</td><td>Title:</td><td>( ) Change( ) Addition</td></tr><tr><td>Name:</td><td>WIENER, HOWARD</td><td>Name:</td><td></td></tr><tr><td>Address:</td><td>777 S FLAGER DR WEST TWR STE 1601</td><td>Address:</td><td></td></tr><tr><td>City-St-Zip:</td><td>WEST PALM BEACH, FL 33401</td><td>City-St-Zip:</td><td></td></tr></table>

I hereby certify that the information supplied with this filing does not qualify for the exemption stated in Chapter 119, Florida Statutes. I further 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 an address, with all other like empowered.

<table border="1"><tr><td rowspan="2">SIGNATURE:</td><td>HOWARD SIEGEL</td><td>D</td><td>11/03/2008</td></tr><tr><td>Electronic Signature of Signing Officer or Director</td><td></td><td>Date</td></tr></table>

EFTA00192298