Application For Reinstatement - 2012 printable pdf download

Application For Reinstatement - 2012

APPLICATION FOR

Secretary of State Office

500 E Capitol Ave

REINSTATEMENT

Pierre, SD 57501

Clear Form

(605)773-4845

DOMESTIC COOPERATIVE

HELP

Please Type or Print Clearly in Ink

Original

Photocopy

Please submit one

and one

FILING FEE: $300

SECRETARY OF STATE

payable to

Telephone # ____________________

FAX #

_______________________

1. The name of the cooperative is ____________________________________________________________________

______________________________________________________________________________________________

Note: This must be the exact cooperative name.

2. The effective date of its administrative dissolution ______________________________________________________

Any cooperative administratively dissolved may apply to the secretary of state for

reinstatement within 2 years after the effective date of dissolution.

3. State that the ground or grounds for dissolution either did not exist, or have been eliminated by filing all required

reports and paying all fees and penalties.

hereto are

delinquent

and

Attached

ALL

annual reports

filing fees

Dated ____________________________

______________________________________________

(Signature of an authorized officer)

______________________________________________

(Printed Name)

______________________________________________

(Title)

domesticcooperativereinstartment April 2012

Application For Reinstatement - 2012