Application Form For Revival - $100 Fee Page 3
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3THE COMMONWEALTH OF MASSACHUSETTS
APPLICATION FOR REVIVAL
(General Laws, Chapter 156B, Section 108)
I hereby approve the within Application for Revival and, the filing fee in the
amount of $ __________having been paid, said application is deemed to have
been filed with me this ________ day of _________________ , 20 ______ .
The corporation revived as provided herein.
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
TO BE FILLED IN BY CORPORATION
Contact information:
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________
Telephone:
Email: __________________________________________________________
A copy this filing will be available on-line at once the
document is filed.
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