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                                                                        PAUL D. PATE                                 Application for Reinstatement of a
                                                                                                                             COOPERATIVE ASSOCIATION
           Secretary of State 
                                                                                                                                        [Chapter 499]                
                                                                     State of Iowa 

          TO THE SECRETARY OF STATE OF THE STATE OF IOWA:                                                                                        
 
          Pursuant to Iowa law, the undersigned cooperate association applies for reinstatement and  
          states:
 
 1.       The name of thecooperative                                                             association   onthedate      ofadministrative         dissolution  was:
 
 2.       The effective date of the administrative dissolution was:                                                                                                      
 
 3.       The ground(s) for dissolution did not exist or has been eliminated. 
 
 4.       The cooperative                                                    association applies    forreinstatement          underthe          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.) 
 
          Signature 
                                                                                                                                                                         
          Printed Name 
 
          Title                                                                                                                                 Date                     
 
 The filing fee is $5.00. 

 635_2001 
 9/20 



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                                         INSTRUCTIONS 
 
 NOTES: 
 
 1.   The filing fee is $5.00. Make checks payable to SECRETARY OF STATE 
 
 2.   The formmust    be  signed  by   the association's     presiding  officer of the board   of directors, or the
      association’s   president or other officer. However, if the board of directors has not been selected
                                                                 
      or the association has not been formed, the document must be signed by an incorporator of the 
                                                                                                                  
      association. If the association is under the control of a person acting as a fiduciary of the
      association, including   a trustee or receiver, the document must be signed by the fiduciary.
                                     
 3.   Onecopyof thedocumentistobedeliveredtotheSecretaryofStateforfiling.
                                
 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 
 9/20 






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