CONTRACTORS STATE LICENSE BOARD STATE OF CALIFORNIA 9821 Business Park Drive, Sacramento, CA 95827 Mailing Address: P.O. Box 26000, Sacramento, CA 95826 800.321.CSLB (2752) | www.cslb.ca.gov | CheckTheLicenseFirst.com 13A-1h (rev. 06/17)Request for License Number Reissuance Request for License Number Reissuance This form must be completed by existing sole owners applying for a corporate or limited liability company (LLC) license AND by existing corporations applying for an LLC license AND must be submitted in conjunction with a completed Application for Original Contractor License 226 Examination Waiver (7065). This form is required regardless of whether or not the licensee wants their existing sole ownership or corporate license number reissued to the new corporation or LLC. You must complete and sign the form below and: Check the 223Yes224 box and provide the requested information if you do want the existing license number reissued to thenew entity and you meet the criteria listed below, OR Check the 223No224 box if you do not want the existing license number reissued 226 a new license number will be issued tothe new entity.California law allows an existing sole ownership license number to be reissued to a new corporation or LLC if all of the following requirements are met: California law allows an existing corporate license number to be reissued to a new LLC if all of the following requirements are met: The existing sole ownership license is in good standing;The corporation or LLC was formed by the same individuallicensee as the sole ownership license; and The licensee maintains ownership directly or indirectly ofshares or membership interests evidencing more than 50percent of the voting power of the new corporation or LLC.The existing corporate license is in good standingimmediately before its cancellation in connection with theapplication for an LLC license;The LLC was formed by a corporation to continue thebusiness of the corporation subsequent to the cancellationof the corporate entity's license; and The personnel listed for each entity are the same. Please be aware that once the license number is reissued, it belongs to the new corporation or LLC and cannot be reissued to an individual or corporation at a later date. Please type or print neatly and legibly in black or dark blue ink. Incomplete forms and pencil are not accepted. 1.NAME OF NEW BUSINESS (as shown in Section 1 on the Application for Original Contractor License 226 Examination Waiver (7065)) 2.EXISTING CSLB LICENSE NUMBER3.BUSINESS NAME OF EXISTING LICENSEE (as shown on CSLB records) 4.PLEASE CHECK ONLY ONE BOX BELOW:YES 226 Reissue my existing sole ownership or corporate license number, #, to thebusiness named above. I certify that I own % of the shares or membership interests of this new corporation orLLC. I understand that the license number cannot be reissued back to me as a sole owner or corporation in the future. NO 226 DO NOT reissue my existing sole ownership or corporate license number to this new corporation or LLC. Please issue anew license number to the new entity.5.DateSignature Printed Name Important Notice About Reissued License Numbers and Joint Venture Licenses When a sole ownership or corporate license number that was previously associated with a joint venture license is reissued to a new corporation or LLC, the joint venture license is cancelled. The remaining entities may request a continuance of the joint venture license to complete projects already contracted for or in progress before the cancellation date. The continuance may be granted for a period of up to one year. The written request must be received by CSLB headquarters within 90 days after the cancellation date (date of reissue). (Business and Professions Code section 7076) *REISSUE-CONF* FOR CSLB USE ONLY American LegalNet, Inc. www.FormsWorkFlow.com