Form Revised by South Carolina Secretary of State, August 2016 F0043 STATE OF SOUTH CAROLINA SECRETARY OF STATE APPLICATION FOR REINSTATEMENT OF A CORPORATION WHEN CERTIFICATE OF AUTHORITY HAS BEEN REVOKED CORPORATION - FOREIGN PLEASE TYPE OR PRINT CLEARLY IN BLACK INK FILING FEE $25.00 Pursuant to the 1976 S.C Code of Laws , as amended, Section 33 - 15 - 330, the undersigned hereby applies to the Secretary of State for reinstatement of a corporation whose certificate of authority has been revoked , and for that purpose, submits the following information : 1. The name of the corporation at the time of revocation was : Date certificate of authority was issued . Date of administrative revocation . 2. Complete either : a. Grounds for administrative dissolution did not exist. b. The grounds for administrative dissolution have been eliminated. The grounds for administrative dissolution were : 3. The the 1976 S.C. Code of Laws , as amended, Section 33 - 4 - 101. Date: Name of Corporation (Signature) ( Print Name ) (Office ) American LegalNet, Inc. www.FormsWorkFlow.com Form Revised by South Carolina Secretary of State, August 2016 F0043 FILING INSTRUCTIONS Application for Reinstatement of a Corporation when Certificate of Authority is Revoked - Two copies of this form, the original and either a duplicate original or a conformed copy, must be filed. If applicable, a certificate of tax compliance from the D epartment of Revenue should be attached . Include a self - addressed stamped envelope to have a filed copy returned to you by mail. If the space in this form is insufficient, please attach additional sheets containing a reference to the appropriate paragraph in this form. Make sure the proper individual has signed the form [ Please see the 1976 S.C. Code of Law s, as amended, Section 33 - 1 - 200(f)]. Corporate forms filed with the Secretary of State should be signed by: (1) T he Chairman of the Board of Directors, president or another of its officers ; (2) I f directors have not been selected or the corporation has not been formed, by its incorporators ; or (3) I f the corporation is in the hands of a receiver, t rustee or other court appointed fiduciary, by that fiduciary. Return all documents to: Secretary of State Attn: Corporate Filings 1205 Pendleton Street, Suite 525 Columbia, SC 29201 American LegalNet, Inc. www.FormsWorkFlow.com