Application For Revival Form

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ROSS MILLER
Secretary of State
204 North Carson Street, Ste 1
Carson City, Nevada 89701-4299
(775) 684 5708
Website: secretaryofstate.biz
Application for Revival
(PURSUANT TO NRS 78.185)
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
Notice: This form is to be used if the name of the corporation (at the time of revocation or
dissolution) has been legally acquired by another entity whose name is on file with the Secretary of
State.
Application for Revival
(Pursuant to NRS 78.185)
This application authorizes the office of the Secretary of State of Nevada to revive:
(name of corporation at time of revocation or dissolution)
Other name under which the corporation desires its corporate existence to be revived:
X
Authorized Signature
Date
Nevada Secretary of State AM Application for Revival 2007
Reset
Revised on: 01/01/07

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