BUSINESS REGISTRATION DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622
(Revised September 2017) (Form B-08)
State of North Carolina
Department of the Secretary of State
APPLICATION FOR REINSTATEMENT FOLLOWING
ADMINISTRATIVE DISSOLUTION
Pursuant to §55-14-22 of the North Carolina General Statutes, the undersigned corporation hereby submits this
Application for Reinstatement Following Administrative Dissolution.
1. The name of the applicant corporation is: _______________________________________________________
2. The effective date of the administrative dissolution of the applicant corporation:________________________
3. The ground or grounds for administrative dissolution of the applicant corporation as stated in its Certificate of
Dissolution was or were:
_____________________________________________________________________________________________
4. Complete either (a) or (b) as appropriate:
(a) The grounds stated above for the administrative dissolution of the applicant corporation did not
exist. (Insert brief explanation.)
_____________________________________________________________________________________________
(b) The grounds stated above for the administrative dissolution of the applicant corporation have been
eliminated. (Insert brief explanation.)
_____________________________________________________________________________________________
5. Enclosed is a fee of $100 as required by §55-1-22 of the North Carolina General Statutes.
This is the ______ day of _______________________, 20____.
____________________________________
(Name of Applicant Corporation)
____________________________________
(Signature)
____________________________________
(Type or Print Name and Title)
NOTES:
1. The filing fee for this Application is $100.
2. This application must be filed with the Secretary of State.
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