West Virginia > Secretary Of State > Business Organizations > Limited Liability Company
Application For Reinstatement LLD-10 - West Virginia
| Application For Reinstatement Form. This is a West Virginia form and can be used in Limited Liability Company Business Organizations Secretary Of State . |
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Natalie E. Tennant Secretary of State 1900 Kanawha Blvd E. Bldg 1, Suite 157-K Charleston, WV 25305 FILE ONE ORIGINAL (Two if you want a filed stamped copy returned to you) Penney Barker, Manager Corporations Division Tel: (304)558-8000 Fax: (304)558-8381 www.wvsos.com Hrs: 8:30 a.m. - 5:00 p.m. ET WEST VIRGINIA APPLICATION FOR REINSTATEMENT OF A REVOKED OR ADMINISTRATIVELY DISSOLVED 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 Date the organization was revoked or administratively dissolved by the WV Secretary of State's Office: ________________________________ Read the following statements and check the boxes accordingly: (be sure you have met ALL the requirements below to reinstate before submitting your application) 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. 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. Attached is the annual report required to be filed by the company. Included with the reinstatement documents is payment of $25 for the reinstatement application, $100 delinquent fee and $25 for the delinquent annual report that is being submitted (Total Amount: $150). Each year an annual report is due by June 30th. 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: Signature: _____________________________________ Title: _____________________________ Form LLD-10 Issued by the Office of the Secretary of State Revised 02/12 American LegalNet, Inc. www.FormsWorkFlow.com Annual Report for ______(year) Limited Liability Companies 1. 2. 3. 4. Name of Organization: _________________________________________________________________________________ Organization or Qualification Date: ____________________________ In which state: ___________________________ Tax ID: #___________________________ County Code: ___________ Business Class Code: ______________________ Principal Office Address: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 5. Principal Mailing Address: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 6. Name and Mailing Address of person to whom notice of process may be sent: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ *If new agent furnish new agents signature: __________________________________________________________________ 7. Business email address to whom correspondence may be sent: ____________________________________________________________________________ Manager Information: Complete this section only, if you were set up as a manager-managed company. List the name and address of each manager having signature authority to sign filings (attach additional page if necessary): Name Mailing Address Manager________________________________________ _____________________________________________________ Manager________________________________________ _____________________________________________________ 9. Member Information: Complete this section only, if you were set up as a member-managed company. List the name and address of each member having authority to sign filings (attach additional page if necessary): Name Mailing Address Member________________________________________ _____________________________________________________ Member________________________________________ _____________________________________________________ Member________________________________________ _____________________________________________________ 10. Report must be signed in the name of the company by a: (1) manager of a manager-managed company or (2) member of a member-managed company. Signature: __________________________________________ Date Signed: ______________________________________ Title/Capacity of Person Signing: ______________________________ Telephone: _________________________________ 8. American LegalNet, Inc. www.FormsWorkFlow.com
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