BUSINESS REGISTRATION DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622
(Revised September 2017) (Form B-08)
Instructions for Filing
Form B-08
APPLICATION FOR REINSTATEMENT FOLLOWING ADMINSTRATIVE DISSOLUTION
OF
BUSINESS CORPORATION
Item 1 Enter the complete name of the business corporation exactly as it appears on the records of
the North Carolina Dept. of the Secretary of State.
Item 2 Enter the effective date of the administrative dissolution of the business corporation. The
date must be stated in the month/day/year format.
Item 3 Enter the grounds that existed for the administrative dissolution of the business corporation.
Item 4 Select either A or B as appropriate and insert a brief explanation explaining the selection.
Date and Execution
Enter the date the document was executed.
In the blanks provided enter:
• The name of the limited liability company as it appears in item 1.
• The signature of the Manager or other Company Official of the limited liability
company executing the document.
• The name and title of the above-signed representative.
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.
click to sign
signature
click to edit