Business Entity Filing Fee $150.00
Nonprofit Corporation Filing Fee $25.00
STATE OF MAINE
APPLICATION FOR
_____________________
CERTIFICATE OF REVIVAL
Deputy Secretary of State
(Domestic Entities Only)
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
FIRST:
Name of entity applying for revival is:
_________________________________________________________________________________________________
SECOND:
Original date of filing with Secretary of States Office: ______________________________________________________
THIRD:
Type of entity applying for revival is: ("X" only one box)
A.
Domestic Nonprofit Corporation
B.
Domestic Business Corporation
13-B MRSA §1117
13-C MRSA §1425
C.
Domestic Limited Liability Company
D.
Domestic Limited Partnership
31 MRSA §1604
31 MRSA §1401-A
FOURTH:
The name and registered office address of the clerk/registered agent appearing on the records in the Secretary of State's office
at the time of dissolution:
_______________________________________________________________________________________________
(name of clerk/registered agent)
_______________________________________________________________________________________________
(street, city, state and zip code)
FIFTH:
The purpose or purposes for which this revival is requested:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
FORM NO. Revive (1 of 2)