Form 635_2000 - Application For Reinstatement - 2001
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1APPLICATION
CHESTER J. CULVER
FOR
Secretary of State
REINSTATEMENT
State of Iowa
(Nonprofit)
READ INFORMATION ON THE REVERSE BEFORE COMPLETING
TO THE SECRETARY OF STATE OF THE STATE OF IOWA:
Pursuant to section 504A.87B of the Iowa Nonprofit Corporation Act , the undersigned
corporation applies for reinstatement and states:
1.
The name of the corporation on the date of administrative dissolution was:
________________________________________________________________________
2.
The date of the administrative dissolution was: ____________________________________
3.
The ground or grounds for dissolution (check one):
did not exist
has been eliminated
4.
The filing fee of $5.00 is enclosed.
Name of the Corporation _____________________________________________________
Signature ________________________________________________________________
Title _______________________________________________ Date ________________
635_2000
06/01
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