West Virginia > Secretary Of State > Business Organizations > Multiple Company Types
Application For Reinstatement CO-LP-RE - West Virginia
| Application For Reinstatement Form. This is a West Virginia form and can be used in Multiple Company Types 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) FEE: See statement below WEST VIRGINIA APPLICATION FOR REINSTATEMENT OF A REVOKED OR ADMINISTRATIVELY DISSOLVED CORPORATION, LIMITED PARTNERSHIP, VOLUNTARY ASSOCIATION OR BUSINESS TRUST 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 **In accordance with the Code of West Virginia, the undersigned organization adopts the following Articles of Reinstatement of its organization** 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 Date the organization was revoked or administratively dissolved by the WV Secretary of State's Office: ________________________________ Read the following statements and check the boxes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 CO-LP-RE Issued by the Office of the Secretary of State Revised 02/12 American LegalNet, Inc. www.FormsWorkFlow.com Annual Report for ________(year) Corporations, Limited Partnerships, Voluntary Associations, and/or Business Trusts 1. 2. 3. 4. Name of Organization: _________________________________________________________________________________ Incorporation 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: ____________________________________________________________________________ List names and addresses of the entity's parent company, if any. Also, list each entity's subsidiaries that are licensed to do business in WV. Please check whether each name is a parent or a subsidiary by checking the appropriate box for each line (P for parent, S for subsidiary) Attach additional sheet if necessary. P S Organization Name Mailing Address __________________________________ _______________________________________________________ Organization Name Mailing Address __________________________________ _______________________________________________________ 8. P S 9. Officer/Partner/Member Information: List the name and address of each officer/partner/member having authority to sign filings (attach additional pages if necessary): Title Name Mailing Address ______________ ______________________________ ________________________________________________________ ______________ ______________________________ ________________________________________________________ ______________ ______________________________ ________________________________________________________ ______________ ______________________________ ________________________________________________________ ______________ ______________________________ ________________________________________________________ ______________ ______________________________ ________________________________________________________ 10. Report must be signed for the organization by a: (1) officer of a corporation, (2) general partner of a limited partnership (3) member or officer of a voluntary association or business trust. Signature: __________________________________________ Date Signed: ______________________________________ Title/Capacity of Person Signing: ______________________________ Telephone: _________________________________ American LegalNet, Inc. www.FormsWorkFlow.com
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