State Form 82.546 - Certificate Of Revival Pursuant To Nrs 82.546

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Office Use Only:
DEAN HELLER
Certificate of
Secretary of State
Revival
101 North Carson Street, Suite 3
Carson City, Nevada 89701-4786
(PURSUANT TO NRS 82.546)
(
775) 684 5708
Important: Read attached instructions before completing form.
Certificate of Revival Pursuant to NRS 82.546
(For Non Profit Corporations Governed by NRS Chapters 81 (except 81.010) and 82)
- Remit in Duplicate -
1. Name of corporation:_________________________________________________________________________
2. Name and physical address of corporation's resident agent:
______________________________________________________________________________________________
______________________________________________________________________________________________
(Optional) Mailing address, if different from physical address:
______________________________________________________________________________________________
______________________________________________________________________________________________
3. Date when revival of charter is to commence or be effective, which may be, before the date of the certificate:
_____/_____/_____.
4. Indicate whether or not the revival is to be perpetual, and, if not perpetual, the time for which the revival is to
continue. The corporation's existence shall be: PERPETUAL or _________________________________.
(Time for which the revival is to continue)
5. The undersigned declare that the corporation desires to revive its corporate charter and is, or has been, organized
and carrying on the business authorized by its existing or original charter and amendments thereto, and desires to
continue through revival its existence pursuant to and subject to the provisions of Chapters 81 and 82.
6. Names and addresses of president, secretary, treasurer and directors:
____________________________ _________________________________________________________________
(president)
(address)
____________________________ _________________________________________________________________
(secretary)
(address)
____________________________ _________________________________________________________________
(treasurer)
(address)
____________________________ _________________________________________________________________
(director)
(address)
(Additional pages may be attached)
7. The undersigned declare that the execution and filing of this certificate has been approved unanimously by the last-
appointed surviving directors of the corporation and that unanimous consent has been secured.
___________________________________________
______________________________________________
Signature of President or Vice President
Signature of Secretary or Assistant Secretary
IMPORTANT: Failure to include any of the above information and remit the proper fees may cause this filing to be
rejected.
Nevada Secretary of State Form 82.546 REVIVAL1999.01
Revised on: 03/16/00

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