Form 814 - Application Form For Reinstatement After Involuntary Dissolution Or Revocation Page 5

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814
Form
(10/08)
Return in duplicate to:
Secretary of State
P.O. Box 13697
Application for
Austin, TX 78711-3697
Reinstatement
512 463-5555
After Involuntary Dissolution
FAX: 512 463-5709
or Revocation
Filing Fee: See instructions
1. The name of the entity is:
The entity is a foreign entity that was required to obtain its registration under a name that differs from
the legal name stated above. The name under which the entity is registered is:
The file number issued to the filing entity by the secretary of state is:
2. The jurisdiction of organization of the entity is:
(state or country)
The entity was organized or obtained its registration on:
mm/dd/yyyy
3. The effective date of the entity’s involuntary dissolution or revocation is:
mm/dd/yyyy
4. The delinquency or deficiency giving rise to the involuntary dissolution of the entity’s existence or
the revocation of the entity’s certificate of authority is described below.
(Select the appropriate box below. Do not check more than one box.)
4A. Failure to Maintain a Registered Agent and/or Registered Office in Texas
The entity failed to maintain a registered agent and/or registered office address in Texas. The
entity requests reinstatement and certifies that the entity has satisfied its obligations under the Tax
Code; that all conditions for reinstatement have been met, and that a document designating a new
registered agent, or a new registered office address, or both accompanies this filing.
4B. Professional Association’s Failure to File an Annual Statement
The professional association failed to file its annual statement when due. The entity certifies that
the entity has satisfied its obligations under the Tax Code; that all conditions for reinstatement of the
entity’s existence have been met, and that each annual statement that was required to be filed with the
secretary of state accompanies this filing.
4C. Failure of a Foreign Entity to File an Amendment to Reflect a Change of Name or Purpose
The foreign entity failed to amend its certificate of authority to reflect a change effected to its
legal name or to change its stated purpose within the time frame specified by law. The entity requests
reinstatement of its certificate of authority and certifies that the entity has satisfied its obligations and
liabilities under the Tax Code; that all conditions for reinstatement have been met, and that an
application for amended certificate of authority accompanies this filing.
Form 814
5

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