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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
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