Free CO-LP-RE - West Virginia

Natalie E. Tennant Secretary of State State Capitol Bldg. 1900 Kanawha Blvd. East Charleston, WV 25305 www.wvsos.com
FEE: $25 plus current report fee of $25 and Delinquent Fee of $100(other report fees my apply see below)

WEST VIRGINIA APPLICATION FOR REINSTATEMENT OF A REVOKED OR ADMINSTRATIVELY DISSOLVED Corporation, Limited Partnership, Voluntary Association or Business Trust

Penney Barker, Manager Business and Licensing Division Tel: (304) 558-8000 Fax: (304) 558-8381 Hrs - 8:30-5:00pm [email protected]

In accordance with the Code of West Virginia, the undersigned organization adopts the following Articles of Reinstatement of its organization:

The name of the organization is:

Date the organization was revoked or administratively dissolved by the WV Secretary of State's Office:

Read the following statements and check the boxes accordingly:
The organization states that the ground for revocation or dissolution has been eliminated and that the name satisfies the name requirements as required in the West Virginia Code.

The organization has obtained a letter of good standing from the West Virginia Tax Department, which recites that, all taxes owed by the company have been paid, and the letter of good standing or a copy of the letter is hereby attached to this application for reinstatement. Attached is the annual report required to be filed annually by the company. Included with the reinstatement documents is payment of $25 for the reinstatement application, $100 delinquent fee and $25 for each delinquent annual report that is being submitted. Each year an annual report is due by July 1st. Total Amount Enclosed: _________________________.

Contact name and number of person to reach in case of problem with filing: (optional, however, listing one may help to avoid a return or rejection of filing if there appears to be a problem with the document)
Name: ________________________________________ Phone: ______________________________________

Signature of person executing document:
_______________________________________________ Signature _____________________________________ Capacity in which he/she is signing (Example: member, manager, etc.)

RESET

Form CO-LP-RE

Issued by the Secretary of State

Revised 1/09

Annual Report for Corporations, Limited Partnerships, Voluntary Associations, and/or Business Trusts DUE DATE: July 1, 2008
Companies that do not file their annual reports by the due date are at risk of being assessed monetary penalties and/or being administratively dissolved or revoked. Complete each section. (Please Print or Type Information) 1. 2. 3. Name of Organization: Incorporation or Qualification date: Tax ID: # County Code: In which State: Business Class Code:

To view a list of County Codes they are available at: http://www.wvsos.com/business/helpfiles/fieldcodes.htm To view a list of Business Class Codes they are available at: http://www.state.wv.us/taxrev/uploads/2006_NAICS.pdf

4.

Principal Office Address: (if different, please make appropriate changes)

5.

Principal Mailing Address: (if different, please make appropriate changes)

6.

Name and mailing address of the person (if different, please make changes)

*If new agent furnish new agent's signature: ____________________________________________________________ 7. Business email address to whom correspondence may be sent, if any, is:

____________________________________________________________

8.

List names and addresses of the entity's parent company, if any. Also, list each entity's subsidiaries that are licensed to do business in WV. Please check whether each name is a parent or a subsidiary by checking the appropriate box for each line (P for parent, S for subsidiary) Attach list if more space is needed. P S Organization Name __________________________ Organization Name __________________________ Mailing Address _____________________________________________________ Mailing Address _____________________________________________________

P

S

9.

Officer/Partner/Member Information: List the name and address of each officer/partner/member having authority to sign filings (attach additional pages if necessary): Name Mailing Address President Vice-President Secretary Treasurer Director Director

10.

Report must be signed in the name of the company by a: (1) officer of a corporation, (2) general partner of a limited partnership, (3) member or officer of a voluntary association or business trust. Signature: __________________________________________________________ Date Signed: ____________________________ Title/Capacity of Person Signing: _______________________________________ Telephone #: ____________________________