Free - West Virginia

Natalie E. Tennant Secretary of State State Capitol Bldg. 1900 Kanawha Blvd. East Charleston, WV 25305

WEST VIRGINIA APPLICATION FOR REINSTATEMENT OF A REVOKED OR ADMINSTRATIVELY DISSOLVED LIMITED LIABLITY COMPANY

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

www.wvsos.com

In accordance with the Code of West Virginia, the undersigned organization adopts the following Articles of Reinstatement of its Limited Liability Company:
The name of the organization is:

Date the LLC was revoked or administratively dissolved by the WV Secretary of State's Office: :

Read the following statements and check the boxes accordingly:
The Limited Liability Company states that the ground for revocation or dissolution has been eliminated and that the name satisfies the name requirements as required in §31B-1-105 (if domestic) or §31B-10-1005 (if foreign) of the West Virginia Code.

The Limited Liability Company 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 April 1st. If you want to file the current year's report along with the above documents the fee is $25, if not please make sure you file the current year's report by April 1st to avoid having your company revoked again. 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: ________________________________________ (Print name of person signing document) Phone: ______________________________________

Signature of person executing document:
_______________________________________________ Signature
RESET

_____________________________________ Capacity in which he/she is signing (Example: member, manager, etc.)

Form LLD-10

Issued by the Secretary of State

Revised 1/09

Limited Liability Company or Professional Limited Liability Company DUE DATE: April 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 LLC or PLLC: ________________________________________________________________________ Organization or Qualification date: __________________ In which State: ____________________________ Tax ID #_______________________County Code: _________ 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) _________________________________________________________________________ _________________________________________________________________________ Designated Office Address in WV, if any _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________

5.

6.

Name and mailing address of the person to whom notice of process may be sent: ___________________________________________________________ (if different, please make appropriate changes) ___________________________________________________________ ___________________________________________________________ *If new agent furnish new agent's signature: ____________________________________________________________

7. 8.

Business email address to whom correspondence may be sent, if any, is:

____________________________________________________________

Manager Information: Complete this section only, if you were set up as a manager-managed company. List the name and address of each manager having authority to sign filings (attach additional pages if necessary): Mailing Address Name Manager________________________________ ____________________________________________________ Manager____________________________ _________________________________________________________

9.

Member Information: Complete this section only, if you were set up as a member-managed company. List the name and address of each member having authority to sign filings (attach additional pages if necessary): Member________________________________ Member________________________________ Member ________________________________ Member ________________________________ ____________________________________________________ ____________________________________________________ ___________________________________________________ ____________________________________________________

10.

Report must be signed in the name of the company by a: (1) manager of a manager-managed company or (2) member of a member-managed company. Signature: _____________________________________________ Date Signed: ____________________________ Title/Capacity of Person Signing: __________________________ Telephone #: ____________________________