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
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)
(Type or Print Name and Title)
1. The filing fee for this Application is $100.
2. This application must be filed with the Secretary of State.
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