Natalie E. Tennant
Penney Barker, Manager
Secretary of State
Corporations Division
1900 Kanawha Blvd E
Tel: (304)558-8000
Bldg 1, Suite 157-K
Fax: (304)558-8381
Charleston, WV 25305
Website:
E-mail:
WEST VIRGINIA APPLICATION FOR
FILE ONE ORIGINAL
Office Hours: Monday – Friday
REINSTATEMENT OF A REVOKED OR
8:30 a.m. – 5:00 p.m. ET
(Two if you want a filed
ADMINISTRATIVELY DISSOLVED
stamped copy returned to you)
LIMITED LIABILITY COMPANY
FEE: See Statement Below
**** In accordance with the Code of West Virginia, the undersigned organization adopts the following ****
Articles of Reinstatement of its Limited Liability Company.
1.
The name of the organization is:
2. Date of revocation or administrative dissolution by the WV Office of Secretary of State:
3
. Read the following statements and check the boxes accordingly (Be sure you have met ALL the requirements below to
reinstate before submitting your application to avoid it being rejected and returned to you as incomplete.):
The organization states that the reason for revocation or dissolution has been eliminated and that the name satisfies the
name requirements as required in the West Virginia Code (this box must be checked).
The organization has obtained a letter of good standing from the West Virginia Tax Department, which recites that all
taxes owed by the company have been paid, and the letter of good standing or a copy of the letter is hereby attached
to this application for reinstatement. You may obtain the letter of good standing by calling 304-558-8695.
Attached is the annual report required to be filed by the company.
All organizations, except Limited Liability Partnerships: Must include with the reinstatement documents a payment of $25
for the reinstatement application fee, a late fee of $50 (for a profit organization) or $25 (for a non-profit organization),
th
plus $25 for the delinquent annual report fee that is being submitted. Each year an annual report is due by June 30
.
• For profit total amount = $100
• Non-profit total amount = $75
Total Amount Enclosed: ___________________
Contact name and number of person to reach in case of problem with filing (optional, however, listing one may
help to avoid a return or rejection of filing if there appears to be a problem with the document):
Name: ________________________________________
Phone: ___________________________
Signature of person executing document (see below *Important Legal Notice Regarding Signature):
Signature: _____________________________________
Title: _____________________________
*Important Legal Notice Regarding Signature: Per West Virginia Code §31B-2-209. Liability for false statement in filed
record. If a record authorized or required to be filed under this chapter contains a false statement, one who suffers loss by reliance
on the statement may recover damages for the loss from a person who signed the record or caused another to sign it on the person's
behalf and knew the statement to be false at the time the record was signed.
Form LLD-10
Issued by the Office of the Secretary of State
Revised 4/14