Form 635_0052 - Application For Reinstatement Of A Cooperative Association printable pdf download

Form 635_0052 - Application For Reinstatement Of A Cooperative Association

Application for

CHESTER J. CULVER

Reinstatement of a

Secretary of State

Cooperative Association

State of Iowa

[Chapter 497 & 498]

__________________________________________________________________________________

Name of Association

__________________________________________________________________________________

Post Office Address

an Association, the corporate rights of which have been forfeited in accordance with Iowa Code chapter

497.27 or 498.28 for failure to file an Annual Report for the year 19 ___ , as required by law, applies for

reinstatement and asks that the decrees of forfeiture be annulled and that the Association be permitted to

continue to act as an Association.

The reasons for not filing the Annual Report within the time required by law are:

__________________________________________________________________________________

I, _________________________________________ , Secretary of the Association, certify that I am

duly authorized and directed to execute, acknowledge and file, with the Secretary of State, this application for

reinstatement, together with the annual report. And, I affirm that this and all statements made with

reference to the delinquency of the Association are true.

____________________________________________

Signature

635_0052

rev. 02/99

Form 635_0052 - Application For Reinstatement Of A Cooperative Association