Application For Reinstatement Of A Cooperative Association - Iowa Secretary Of State

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Application for

PAUL D. PATE

Reinstatement of a

Secretary of State

COOPERATIVE ASSOCIATION

State of Iowa

[Chapter 499]

TO THE SECRETARY OF STATE OF THE STATE OF IOWA:

Pursuant to section 499.78 of the Code of Iowa, the undersigned Cooperative Association applies

for reinstatement and states:

The name of the Cooperative Association on the date of administrative dissolution was:

________________________________________________________________________

The date of the administrative dissolution was: ____________________________________

The ground or grounds for dissolution (check one):

did not exist (explain why here)

has been eliminated (explain how here)

The Cooperative Association applies for reinstatement under the name:

________________________________________________________________________

(Complete only if the name of the Cooperative Association at the time of the administrative dissolution is no longer available on the records in this office.)

Signature ________________________________________________________________

Title _______________________________________________ Date ________________

The filing fee is $5.00. Make checks payable to SECRETARY OF STATE.

635_0130

rev. 1/15