Form 350 - Application For Reinstatement Of A Domestic Corporation

Form 350 - Application For Reinstatement Of A Domestic Corporation - 1997

APPLICATION FOR REINSTATEMENT

W. Fox McKeithen

Secretary of State

OF A DOMESTIC CORPORATION

(R.S. 12:163)

Domestic Corporation

Enclose $60.00 filing fee

Return to: Corporations Division

Make remittance payable to

P.O. Box 94125

Secretary of State

Baton Rouge, LA 70804-9125

Do not send cash

Phone (504)925-4704

STATE OF __________________________________

PARISH OF _________________________________

Corporation Name: ______________________________________________________________

It is herby requested that you reinstate the above referenced corporation as of the date of receipt of

this application for reinstatement, current annual report and the fee of $60, plus the fee for filing the

current annual report as required by R.S. 12:163(E), as amended by Act 714 of 1984.

The certificate of incorporation and articles of incorporation shall be reinstated provided (i) a suit for

liquidation or receivership of the corporation has not been filed at the time reinstatement is applied

for or, (ii) if a suit for liquidation or receivership of the corporation has been so filed, a unanimous

written consent to the reinstatement by the shareholders, certified by the corporation's secretary to

contain the signatures of all shareholders, is filed with the Secretary of State with the application for

reinstatement; and (iii) an application for reinstatement signed and acknowledged by an officer of

the corporation, the reinstatement fee, and the current annual report is filed with the Secretary of

State within three (3) years from the effective date of revocation, or as otherwise provided by law.

______________________________________________________

Officer

______________________________________________________

Title

BEFORE ME, the undersigned authority, duly commissioned and qualified within and for the State and

Parish aforesaid, personally came and appeared _______________________________________, to me

known to be the identical person who executed the above and foregoing instrument, who declared and

acknowledged to me, Notary, that he executed the above and foregoing instrument of his own free will,

as his own act and deed, for the uses, purposes and benefits therein expressed.

Subscribed and sworn before me at ________________________________________________, LA ,

this _____________, day of __________________________, 19_________.

___________________________________________

Notary

(See instructions on back)

350 Rev. 5/97

Form 350 - Application For Reinstatement Of A Domestic Corporation - 1997