Form D - Foreign Limited Liability Company Application For Reinstatement Following Administrative Dissolution Form - The Commonwealth Of Massachusetts

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D
FilingFee
$100.00
The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
FORM MUST BE TYPED
FORM MUST BE TYPED
Foreign Limited Liability Company
Application For Reinstatement
Following Administrative Dissolution
(General Laws Chapter 156C, Section 71)
(1) Exact name of the limited liability company: _____________________________________________________________
(2) Resident agent office address: __________________________________________________________________________
(number, street, city or town, state, zip code)
Name of the resident agent at registered office:_____________________________________________________________
(3) Effective date of the foreign limited liability company's administrative revocation: _________________________________
(month, day, year)
(4) The grounds for administrative revocation: _______________________________________________________________
(check appropriate box)
did not exist.
have been eliminated.
(5) The foreign limited liability company's name satisfies the requirements of G.L. Chapter 156C, Section 3 or the limited liabil-
ity company shall simultaneously submit a certificate of amendment to change its name to a name that satisfies the require-
ments of G.L. Chapter 156C, Section 3.
(6) The reinstatement of the foreign limited liability company shall be effective at the time and on the date approved by the
Division.
Signed by: ___________________________________________________________________________________________,
(signature of authorized signatory)
on this _________________________ day of_________________________________________ , _____________________ .
P.C.
c156cfllcreinstatment 8/05/08

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