State of North Carolina
Department of the Secretary of State
APPLICATION FOR REINSTATEMENT FOLLOWING ADMINISTRATIVE DISSOLUTION OF
LIMITED LIABILITY COMPANY
Pursuant to §57C-6-03(c) of the North Carolina General Statutes, the undersigned limited liability company hereby submits this
Application for Reinstatement Following Administrative Dissolution:
1.
The name of the applicant limited liability company is: ___________________________________________________
2.
The effective date of the administrative dissolution of the applicant limited liability company was: _______________
3.
The ground or grounds for administrative dissolution of the applicant limited liability company as stated in its Certificate of
Dissolution was or were:
_______________________________________________________________________________________________
4.
Complete either (a) or (b) as appropriate:
(a)
The grounds stated above for the administrative dissolution of the applicant limited liability company did not
exist. (Insert brief explanation.)
___________________________________________________________________________________________________
(b)
The grounds stated above for the administrative dissolution of the applicant limited liability company have been
eliminated. (Insert brief explanation.)
___________________________________________________________________________________________________
5.
Enclosed is a fee of $100.00 as required by §57C-6-03(c) of the North Carolina General Statutes.
This the __________ day of _________________, 20______.
________________________________________
Name of Limited Liability Company
________________________________________
Signature
_______________________________________
Type or Print Name and Title
Notes:
1. Filing fee for this Application for Reinstatement is $100.00, payable by check made to the order of the Secretary of State.
2. This Application must be filed with the Secretary of State.
(Revised January 2000)
(Form L-08)
CORPORATIONS DIVISION
P.O. BOX 29525
RALEIGH, NC 27626-0525