Certificate of Revival
Limited Liability Company
Delaware Division of Corporations
401 Federal Street – Suite 4
Dover, DE 19901
Ph: 302-739-3073
Dear Sir or Madam:
Enclosed is the Certificate of Revival of a Delaware Limited Liability Company
to be filed in accordance with the Limited Liability Company Act of the State of
Delaware. The fee to file the Certificate is $200 and you will receive a stamped “Filed”
copy of your submitted document. A certified copy may be requested for an additional
$50. Expedited services are available. Please contact our office concerning these fees.
Please contact our Franchise Tax Section concerning any taxes due at the time of
Revival. A check for the tax payment and filing fee must accompany the Certificate for
filing. Please make your check payable to the “Delaware Secretary of State”.
For the convenience of processing your order in a timely manner, please include a
cover letter with your name, address and telephone/fax number to enable us to contact
you if necessary. Please make sure you thoroughly complete all information requested on
this form. It is important that the execution be legible, we request that you print or type
your name under the signature line.
Thank you for choosing Delaware as your corporate home. Should you require
further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
3073.
Sincerely,
Department of State
Division of Corporations
encl.
rev. 6/04
STATE OF DELAWARE
CERTIFICATE OF REVIVAL OF
A DELAWARE LIMITED LIABILITY COMPANY
PURSUANT TO TITLE 6, SEC. 18-1109
1. Name of the Limited Liability Company
.
2. Date of the original filing with the Delaware Secretary of State:
.
3. The name and address of the Registered Agent is
.
4. (Insert any other matters the members determine to include herein).
5. This Certificate of Revival is being filed by one or more persons authorized to
Execute and file the Certificate of Revival.
In witness whereof, the above name Limited Liability Company does hereby certify that
the Limited Liability Company is paying all annual Taxes, penalties and interest due to
the State of Delaware.
BY:________________________________
Authorized Person
Name:______________________________
Print or Type