Free FOREIGN - Maine

Business Entity Filing Fee $150.00 Nonprofit Corporation Filing Fee $25.00

STATE OF MAINE APPLICATION FOR CERTIFICATE OF REVIVAL (Domestic Entities Only)
_____________________ Deputy Secretary of State

A True Copy When Attested By Signature

_____________________ Deputy Secretary of State

FIRST:

Name of entity applying for revival is: _________________________________________________________________________________________________

SECOND:

Original date of filing with Secretary of States Office: ______________________________________________________

THIRD:

Type of entity applying for revival is: ("X" only one box) A. Domestic Nonprofit Corporation
13-B MRSA §1117

B.

Domestic Business Corporation
13-C MRSA §1425

C.

Domestic Limited Liability Company
31 MRSA §608-F

D.

Domestic Limited Partnership
31 MRSA §1401-A

FOURTH:

The name and registered office address of the clerk/registered agent appearing on the records in the Secretary of State's office at the time of dissolution: _______________________________________________________________________________________________
(name of clerk/registered agent)

_______________________________________________________________________________________________
(street, city, state and zip code)

FIFTH:

The purpose or purposes for which this revival is requested: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

FORM NO. Revive (1 of 2)

SIXTH:

Time period needed to complete the purpose(s) specified in item fifth: ___________________________________________

SEVENTH:

The name(s) and address of party or parties requesting revival:

_________________________________________________ (type or print name)

______________________________________________ (street address) ______________________________________________ (city, state and zip code)

_________________________________________________ (type or print name)

______________________________________________ (street address) ______________________________________________ (city, state and zip code)

_________________________________________________ (type or print name)

______________________________________________ (street address) ______________________________________________ (city, state and zip code)

DATED ________________________________

________________________________________________ (signature of any duly authorized person) ________________________________________________ (type or print name)

Please remit your payment made payable to the Maine Secretary of State

Submit Completed Forms To:

Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Telephone: (207) 624-7752

FORM NO. Revive (2 of 2)