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WEST VIRGINIA APPLICATION FOR West Virginia Secretary of State
REINSTATEMENT OF REVOKED OR Business & Licensing Division
ADMINISTRATIVELY DISSOLVED Tel: (304)558-8000
LIMITED LIABILITY COMPANY Fax: (304)558-8381
Form LLD-10 Website: www.wvsos.gov
Rev. 6/2018
FILE ONE ORIGINAL
(Two if you want a filed stamped
copy returned to you.)
FILING FEE:See fees below.
**** In accordance with West Virginia Code, the undersigned organization adopts the following ****
Articles of Reinstatement of its Limited Liability Company.
1. The name of the organization is:
2. Date of revocation or administrative dissolution by the WV Office of Secretary of State:
3. Read the following statements and check the boxes accordingly (Be sure you have met ALL the requirements below to
reinstate before submitting your application to avoid it being rejected and returned to you as incomplete.):
The organization states that the reason for revocation or dissolution has been eliminated and that the name satisfies the name
requirements as required in the West Virginia Code (this box must be checked).
REQUIRED - The organization has obtained a Letter of Good Standing from the West Virginia State Tax Department,
which recites that all taxes owed by the company have been paid, AND the letter, or a copy of the letter, is hereby attached
to this application for reinstatement. Your application will be REJECTED and RETURNED to you as incomplete if the letter
is not included with this application. Visit the "MyTaxes" web site at https://mytaxes.wvtax.gov/. Select the "Request Letter
of Good Standing" link to complete the online request form GSR-01. NOTE: The State Tax Dept. no longer accepts
paper requests, unless the request is for a third party release or the taxpayer has no access to a computer. If no access,
contact the Tax Dept. at the contact information below to request a paper form.
To obtain a Letter of Good Standing: West Virginia State Tax Department Phone Numbers:
- Visit MyTaxes at https://mytaxes.wvtax.gov/. ATTN: TPS - Support Unit (304) 558-3333
- Select "Request Letter of Good Standing." PO Box 885 (800) 982-8297
- Fill out the online request form GSR-01. Charleston, WV 25323-0885
REQUIRED - Attached is the annual report required to be filed by the company. The report MUST BE SIGNED.
All organizations, except Limited Liability Partnerships: Must include with the reinstatement documents a payment of $25 for
the reinstatement application fee, a late fee of $150 (for a profit organization) or $75 (for a non-profit organization), plus $25
for the delinquent annual report fee that is being submitted. Each year an an annual report is due by July 1st.
• For profit total amount = $200
• Non-profit total amount = $125
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
rejection of filing if there appears to be a problem with the document):
Name: Phone:
Signature of person executing document (see below *Important Legal Notice Regarding Signature):
Signature: Title: Date:
*Important Legal Notice Regarding Signature: Per West Virginia Code §31B-2-209. Liability for false statement in filed record. If a record authorized or
required to be filed under this chapter contains a false statement, one who suffers loss by reliance on the statement may recover damages for the loss from a person who
signed the record or caused another to sign it on the person's behalf and knew the statement to be false at the time the record was signed.
Important Note: This form is a public document. Please DO NOT provide any personal identifiable information on this form such as social security numbers,
bank account numbers, credit card numbers, tax identification or driver's license numbers.
