BUSINESS REGISTRATION DIVISION PO BOX 29622 RALEIGH, NC 27626-0622 (Revised August 2017) (Form N-08) State of North Carolina Department of the Secretary of State APPLICATION FOR REINSTATEMENT FOLLOWING ADMINISTRATIVE DISSOLUTION FOR NONPROFIT CORPORATION Pursuant to 24755A-14-22 of the North Carolina General Statutes, the corporation hereby submits this Application for Reinstatement Following Administrative Dissolution: 1. The name of the applicant corporation is: . 2. The effective date of the administrative dissolution of the applicant corporation was: . 3. The ground or grounds for administrative dissolution of the applicant corporation as stated in its Certificate of Dissolution was or were: . 4. Complete either (a) or (b) as appropriate: (a) The grounds stated above for the administrative dissolution of the applicant corporation did not exist. (Insert brief explanation.) . (b) The grounds stated above for the administrative dissolution of the applicant corporation have been eliminated. (Insert brief explanation.) . 5. Enclosed is a fee of $100.00 as required by 24755A-1-22 of the North Carolina General Statutes. This the day of , . Name of Applicant of Corporation Signature Type or Print Name and Title NOTES: 1. Filing fee for this Application for Reinstatement is $100.00, payable by check made to the order of the Secretary of State. 2. This Application must be filed with the Secretary of State. American LegalNet, Inc. www.FormsWorkFlow.com