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                     PAUL D. PATE                                      APPLICATION 
           Secretary of State                                                 FOR     
                                                                      REINSTATEMENT 
                     State of Iowa 

          TO THE SECRETARY OF STATE OF THE STATE OF IOWA:                
 
          Pursuant to Iowa law, the undersigned business entity applies for reinstatement and states: 

 1.       The name of the business entity on the date of administrative dissolution was: 
 
 2.       The date of the administrative dissolution was:                                                                                                          
 
 3.       The ground(s) for dissolution did not exist or has been eliminated. 
 
 4.       The business entity applies for reinstatement under the name: 
 
           (Complete only if the name of the business entity at the time of the administrative dissolution is no longer available on the records in this office.) 
 
 5.       The federal tax I.D. number of the business entity is: #                                                                                                 
 
          Name of business entity                                                                                                                                  
 
          Signature                                                                                                                                                
 
          Title                                                         Date                                                                                       
 
 The filing fee is $5.00. 

 635_2001 
 7/20 



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                                       INSTRUCTIONS 
 
 NOTES: 
 
 1.   The filing fee is $5.00. Make checks payable to SECRETARY OF STATE 
 
 2.   The form should   be signed as   follows:                                  
                                   
         a. Profit, Nonprofit, and Professional Corporations:* 
            By chairperson of the board of directors, the president, or another officer of the corporation. 
  
      b.    Limited Liability Companies:* 
            Byanyauthorized person. 

      c.    501 Cooperatives:* 
            By an officer of the cooperative. 
      * If the business entity is in the hands of a receiver, trustee, or other court-appointed fiduciary, by that fiduciary. 

 3.   One copy of the document is to be delivered to the Secretary of State for filing. 

 4.   If the business entity was administratively dissolved due to failure to comply with biennial 
      reporting requirements, the business entity must file all delinquent biennial reports and pay all 
      delinquent fees. The biennial reports and fees must accompany the application. 
  
 5.   If the business entity was administratively dissolved due to failure to maintain a registered agent 
      or registered office, the business entity must name a registered agent and office at the time of 
      filing this application. The statement of change and fees must accompany the application. 

 6.   If the business entity was administratively dissolved due to the expiration of the business entity's 
      duration, the business entity must file articles of amendment or restated articles. The articles of 
      amendment or restated articles and fees must accompany the application. 
 
 7.   The reinstatement relates back to the effective date of the administrative dissolution. 

 8.   The information you provide will be open to public inspection under Iowa code chapter 22.11. 
 
                                          SECRETARY OF STATE 
                                          Business Services Division 
                                          Lucas Building, 1st Floor 
                                          Des Moines, IA 50319 
 
                                          Phone: (515) 281-5204 
                                              FAX: (515) 242-5953 
 
                                          Website: sos.iowa.gov   
 635_2001 
 7/20 






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