Statement Form Of Revocation Of Voluntary Dissolution Of A West Virginia Corporation

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JOE MANCHIN, III
Penney Barker, Supervisor
STATEMENT OF REVOCATION
Secretary of State
Corporations Division
Bldg. 1, Rm 157-K
OF VOLUNTARY DISSOLUTION OF
Tel. (304) 558-8000
1900 Kanawha Blvd. East
Fax (304) 558-0900
A WEST VIRGINIA CORPORATION
Charleston, WV 25305-0770
Hours: 8:30 am - 4:30 pm ET
FILE DUPLICATE ORIGINALS
FEE: $15
The undersigned for-profit West Virginia corporation submits the following statement of revocation of voluntary dissolution of a
West Virginia corporation, according to he provisions of West Virginia Code 31-1-130, 31-1-131 or §31-1-157.
1.
The name of the corporation is:
The mailing address to which correspon-
2.
dence relating to this matter should be
addressed is:
3.
The names and addresses of the officers of the corporation are:
[Use additional page if necessary]
President
Vice Pres.
Secretary
Treasurer
The names and address of the directors of the corporation are:
4.
[Use additional page if necessary]
Execution: [Two original statements of revocation with original attachments required]
We, the undersigned president (or vice president) and secretary (or assistant secretary) confirm that this statement of
revocation of dissolution is based upon: [Check one and provide information required]
the attached written consent of all the shareholders of a for-profit corporation [ 31-1-130] signed by all shareholders of
the corporation or signed in their names by their attorneys thereunto.
[Form on reverse may be used.]
the attached resolution authorizing the revocation of dissolution of the corporation adopted by an affirmative vote of a
majority of holders of shares of the for-profit corporation [ 31-1-131], including the record of the vote of all outstanding
shares and classes of shares; or, for non-profits, the majority vote of members:
[Form on reverse may be used.]
President/Vice Pres. Name (type or print)
Signature
Date
Secretary/Asst. Sec. Name (type or print)
Signature
Date
Verification: [The signature of at least one of the above officers must be notarized.]
State of _______, County of __________: The foregoing instrument was acknowledged before me this day of ______________, by
___________________of _________________, a WV corporation, on
behalf of the corporation.
_______________________________________________________
Notary Public
(Notary Seal) My commission expires______________________
FORM CD-8
Issued by the Secretary of State, State Capitol, Charleston, WV 25305-0770
Revised 6/99

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