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F        The Commonwealth of Massachusetts
                                     William Francis Galvin
                                     Secretary of the Commonwealth
FPC
                            One Ashburton Place, Boston, Massachusetts 02108-1512

     FORM MUST BE TYPED              Application for Reinstatement                        FORM MUST BE TYPED
                                     of Authority to Transact Business
                             (General Laws Chapter 156D, Section 15.32; 950 CMR 113.56)

     (1)  Exact name of corporation: ___________________________________________________________________________

     (2)  Effective date of revocation:   __________________________________________________________________________
     	                               (month,	day,	year)

     (3)  The name of the corporation satisfies the requirements of G.L. Chapter 156D, Section 4.01 and Section 15.06, or 
        
       if the name is unavailable, the name under which it will transact business in the commonwealth: ______________________  
        
         ________________________________________________________________________________________________

       If	applicable,	please	attach:
       an agreement to refrain from use of the unavailable name in the commonwealth; and
         a copy of the doing business certificate filed in the city or town where it maintains its registered office; and
         a copy of the resolution of the corporation’s board of directors, certified by its secretary, the name under which the corpora-
         tion will transact business in the commonwealth pursuant to 950 CMR 113.50(4).

     (4)  The grounds for revocation:
     	
     (check	appropriate	box)

       ®  did not exist.
       ®  have been eliminated.

P.C.                                                                                                                      c156ds1532950c11356 07/19/05



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(5)  The following information is required to be included in the foreign corporation certificate of registration pursuant to G.L. 
  Chapter 156D, Section 15.03:

  (a) Exact name of the corporation, including any words or abbreviations indicating incorporation: 
   
   ________________________________________________________________________________________________

  (b) Name under which the corporation will transact business in the commonwealth that satisfies the requirements of G.L. 
    Chapter 156D, Section 15.06: ______________________________________________________________________

  If	applicable,	please	attach:
  an agreement to refrain from use of the unavailable name in the commonwealth; and
    a copy of the doing business certificate filed in the city or town where it maintains its registered office; and
    a copy of the resolution of the corporation’s board of directors, certified by its secretary, the name under which the corpora-
    tion will transact business In the commonwealth pursuant to 950 CMR 113.50(4).

  (c)Jurisdiction of incorporation: _______________________________________________________________________  

    Date of incorporation: ____________________ Duration if not perpetual: ___________________________________
  	                            (month,	day,	year)

  (d) Street address of principal office: ______________________________ ______________________________________
	                                                (number,	street,	city	or	town,	state,	zip	code)

  (e) Street address of registered office in the commonwealth: ___________ _______________________________________
	                                                (number,	street,	city	or	town,	state,	zip	code)

    Name of registered agent in the commonwealth at the above address: ________________________________________

  I, _______________________________________________________________________________________________ 
  registered agent of the above corporation consent to my appointment as registered agent pursuant to G. L. Chapter 156D, 
  Section 5.02.*

  (f) Fiscal year end: ___________________________________________ ______________________________________
	                                                (month,	day)

  (g)  Brief description of the corporation’s activities to be conducted in the commonwealth:

   ________________________________________________________________________________________________

*	Or	attach	registered	agent’s	consent	hereto.



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  (h)  Names and business addresses of its current officers and directors:

                                        NAME                                  BUSINESS ADDRESS

  President:

  Vice-president:

  Treasurer:

  Secretary:

  Assistant secretary:

  Director(s):

  Attach certificate of legal existence or a certificate of good standing issued by an officer or agency properly authorized in the 
  jurisdiction of organization.  If the certificate is in a foreign language, a translation thereof under oath of the translator shall 
  be attached.

(6)  Attach a certificate from the Commonwealth of Massachusetts Department of Revenue reciting that all corporate excise taxes 
  and any related penalties have been paid or a request to the Department of Revenue for this certificate.

(7)  The Division shall:
 
  (check	appropriate	box)

  ®  reinstate the corporation without limitation.*
  ®  limit reinstatement to a specified period of time not to exceed one year.

Signed by: ___________________________________________________________________________________________,
	  (signature	of	authorized	individual)
  ®  Chairman of the board of directors,
  ®  President,
  ®  Other officer,
  ®  Court-appointed fiduciary,

on this _________________________day of_________________________________________ ,  _____________________ .

*The	corporation	must	file	annual	reports	for	the	previous	ten	(10)	fiscal	years,	if	not	previously	filed.



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                COMMONWEALTH OF MASSACHUSETTS

                William Francis Galvin
                Secretary of the Commonwealth
                One Ashburton Place, Boston, Massachusetts 02108-1512

                Application for Reinstatement  
                of Authority to Transact Business
                 (General Laws Chapter 156D, Section 15.32; 950 CMR 113.56)

              I hereby certify that upon examination of this application for reinstatement, duly 
              submitted to me, it appears that the provisions of the General Laws relative thereto 
              have been complied with, and I hereby approve said application; and the filing fee 
              in the amount of $ _________________________________________________
              having been paid, said application is deemed to have been filed with me this 
              _____________ day of  ______________20_______ at _______a.m./p.m.
              	                                                  time

              Effective date: _____________________________________________ _______
              	 (must	be	within	90	days	of	date	submitted)

                WILLIAM FRANCIS GALVIN
                Secretary	of	the	Commonwealth

                                                 Filing fee: $100

Examiner        TO BE FILLED IN BY CORPORATION
                Contact Information:

Name Approval 
              ___________________________________________________________

C 
              ___________________________________________________________

M 
              ___________________________________________________________

#A.R.
              Telephone: ___________________________________________________

              Email:  ______________________________________________________

              Upon filing, a copy of this filing will be available at www.sec.state.ma.us/cor. 
              If the document is rejected, a copy of the rejection sheet and rejected document will 
              be available in the rejected queue.






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