Form D - Application For Reinstatement Following Administrative Dissolution

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D
The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512
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:
Name of the resident agent at registered office:_____________________________________________________________
(3) Effective date of the limited liability company’s administrative dissolution: _______________________________________
(month, day, year)
(4) The grounds for administrative dissolution (check appropriate box):
did not exist.
have been eliminated.
(5) The limited liability company's name satisfies the requirements of G.L. Chapter 156C, Section 3 or the limited liability
company shall simultaneously submit a certificate of amendment to change its name to a name that satisfies the requirements
of G.L. Chapter 156C, Section 3.
(6) The reinstatement of the 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_________________________________________ , _____________________ .

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