Form 86.580 - Certificate Of Revival - 2000 printable pdf download

Office Use Only:

DEAN HELLER

Certificate of

Secretary of State

Revival

101 North Carson Street, Suite 3

(PURSUANT TO NRS 86.580)

Carson City, Nevada 89701-4786

(

775) 684 5708

Important: Read attached instructions before completing form.

Certificate of Revival Pursuant to NRS 86.580

(For Nevada Limited Liability Companies)

-Remit in Duplicate -

1. Name of limited liability company:

______________________________________________________________________________________________

2. Name and physical address of company’s resident agent:

______________________________________________________________________________________________

(Optional) Mailing address, if different from physical address:

______________________________________________________________________________________________

3. Date when the revival of the charter is to commence or be effective, which may be, before the date of the

certificate: _____/_____/_____.

4. Indicate whether or not the revival is to be perpetual, and, if not perpetual, the time for which the revival is to

continue. The company’s existence shall be: PERPETUAL or _________________________________.

(Time for which the revival is to continue)

5. The undersigned declare that the company desires to revive its charter and is, or has been, organized and carrying

on the business authorized by its existing or original charter and amendments thereto, and desires to continue through

revival its existence pursuant to and subject to the provisions of this Chapter 86.

6. Names and addresses of company’s managers, or if there are no managers, all its managing members:

(check box)

______________________________ _______________________________________________________________

manager or

managing member

(address)

______________________________ _______________________________________________________________

manager or

managing member

(address)

______________________________ _______________________________________________________________

manager or

managing member

(address)

______________________________ _______________________________________________________________

manager or

managing member

(address)

(Additional pages may be attached)

7. The undersigned declares that he has been designated or appointed by the members to sign this certificate.

Furthermore, the execution and filing of this certificate has been approved and secured by the written consent of a

majority of the members.

__________________________

Signature

Date

IMPORTANT: Failure to include any of the above information and remit the proper fees may cause this filing to be

rejected.

Nevada Secretary of State Form 86.580 REVIVAL 2000.01

Revised on: 03/16/00

Form 86.580 - Certificate Of Revival - 2000

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