Document Processing Fee If document is on paper: If document is filed electronically: Fees are subject to change. $100.00 $ .99 For electronic filing and to obtain copies of filed documents visit www.sos.state.co.us Deliver paper documents to: Colorado Secretary of State Business Division 1560 Broadway, Suite 200 Denver, CO 80202-5169 Paper documents must be typed or machine printed. Instructions for completing Articles of Reinstatement Use these instructions when completing Articles of Reinstatement pursuant to §7-90-1003 and part 3 of Article 90 of Title 7 of the Colorado Revised Statutes (C.R.S.). Provide only information required or permitted to be included in the document by Colorado law. Information included in the document must be typewritten, in English and must state the name(s) and address(es) of at least one individual causing the document to be delivered for filing. The required form/coversheet must be used when filing the document. For legal authority, refer to §7-90-301 and §7-90-302, C.R.S. You may include additional information in an attachment to the form/coversheet. Any attachment becomes part of the document. If there is a conflict between information in the attachment and the form/coversheet, the information in the form/coversheet controls. Information provided in a case-sensitive format will be retrieved and displayed in the same format. Visit our Web site at www.sos.state.co.us and click on “Business Center” for a copy of a document after filing, Certificates of Good Standing, other electronic services, and other information. For answers to general filing questions consult the Frequently Asked Questions (FAQs), also on our Web site. Line-by-line Instructions: ID Number. The number assigned to the initial document that began the record in the records of the Colorado Secretary of State. This ID number is specific to the Colorado Secretary of State. It is not a state or federal tax number. The ID number is listed on the record’s “Information on File” page on our Web site. A record may be viewed by visiting our website at www.sos.state.co.us. Click on “Business Center”, then “Search Business Database”. This ID number must be indicated on all documents related to an existing record in the records of the Colorado Secretary of State. Prior Entity Name. List the entity name exactly as shown in the records of the Colorado Secretary of State. Entity Name Following Reinstatement. List the entity name as it was shown in the records of the Colorado Secretary of State prior to the entity’s dissolution. If the entity name is not distinguishable in the records of the secretary of state, the word “Reinstated”, and the current year shall be appended to the name. After filing the reinstatement, the entity name may be changed pursuant to the organic statute of the entity. Restricted Words. Inclusion of any of these terms: “bank” or “trust” or any derivative thereof, “credit union”, “savings and loan”, “insurance”, “casualty”, “mutual”, or “surety” may be prohibited or restricted by Colorado law, and may be regulated by other state agencies (for example, use of the term “bank” requires Division of Banking approval). Mark only one box. If more than one term appears in the name, choose the term that best describes the organizational structure of the entity. Principal Office Street Address. List the complete street address of the entity’s principal office, including zip code. Principal Office Mailing Address. If mail cannot be delivered to the street address, please provide an address where mail may be delivered. Rev. 6/16/2004 1 of 3 Registered Agent. List the name of the registered agent. A registered agent must be an individual age 18 years or older whose primary residence or usual place of business is in Colorado, a domestic entity having a usual place of business in Colorado or a foreign entity authorized to transact business or conduct activities in Colorado that has a usual place of business in Colorado. If the entity has a usual place of business in Colorado, it may serve as its own registered agent. For legal authority, refer to §7-90-701, C.R.S. Statement Regarding Registered Agent Consent. A statement is required that the person appointed as the registered agent in the document has consented to being so appointed. Registered Agent Street Address. List the complete street address (physical location) of the entity’s registered agent, including zip code. This may be the address of the registered agent’s primary residence in Colorado or usual place of business in Colorado if the registered agent is an individual, or of the usual place of business in Colorado if the registered agent is an entity. Registered Agent Mailing Address. If mail cannot be delivered to the street address, provide an address where mail may be delivered. Date of Formation of Entity. Indicate the date the entity was originally formed. This date may be obtained from either the constituent filed document or the records of the secretary of state. Date of Dissolution of Entity. Indicate the date of dissolution of the entity if known. This date may be obtained from either the constituent filed document or the records of the secretary of state. Duration. If the length of existence of the entity is being changed to perpetual, mark the box. Otherwise, state the date the entity will cease to exist. Delayed Effective Date. The effective date of this document may be delayed up to 90 days after filing with the Colorado Secretary of State. The delayed effective date may also specify a particular time of day Mountain Time. If no time of day is specified, it defaults to close of business on that date. Close of business is 11:59:59 PM Mountain Time. For legal authority, refer to §7-90-304, C.R.S. Governing Statute Prior to Dissolution. Indicate the Colorado statute under which the entity existed immediately prior to its dissolution. Statement. A statement is required that all applicable conditions of 7-90-1002, C.R.S. have been satisfied. Notice. Causing this document to be delivered to the secretary of state for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the secretary of state, whether or not such individual is named in the document as one who has caused it to be delivered. Filing Information. State the name(s) and address(es) of the individual(s) causing this document to be delivered for filing. This information is required for the Colorado Secretary of State to deliver notice if the filing of the document is refused (§7-90-301, C.R.S.). The individual(s) listed will be held responsible for complying with the above notice. The document need not state the true name and address of more than one individual. However, if you wish to state the name and address of any additional individuals causing the document to be delivered for filing, mark this box ‫ ٱ‬and include an attachment stating the name and address of such individuals. Rev. 6/16/2004 2 of 3 Disclaimer. These instructions, and the related form, are not intended to provide legal, business or tax advice, and are offered as a public service without representation or warranty. While the related form is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form. Questions should be addressed to the user’s attorney. Rev. 6/16/2004 3 of 3 Document processing fee If document is filed on paper $150.00 If document is filed electronically $ 50.00 Fees & forms/cover sheets are subject to change. To file electronically, access instructions for this form/cover sheet and other information or print copies of filed documents, visit www.sos.state.co.us and select Business Center. Paper documents must be typewritten or machine printed. ABOVE SPACE FOR OFFICE USE ONLY Articles of Reinstatement filed pursuant to §7-90-301, et seq. and §7-90-1003 of the Colorado Revised Statutes (C.R.S) ID Number ____________________ 1. Domestic entity name of the entity ______________________________________________________ 2. Following reinstatement the domestic entity name of the domestic entity shall comply with section 7-901004. 3. Registered agent (if an individual) ____________________ ______________ ______________ _____ (Last) (First) (Middle) (Suffix) OR (if an entity) ______________________________________________________ 4. The person appointed as registered agent in the document has consented to being so appointed. 5. Registered agent street address ______________________________________________________ (Street name and number) ______________________________________________________ (City) 6. Registered agent mailing address (if different from above) CO ___________________ (State) __________________________ (Postal/Zip Code) ______________________________________________________ (Street name and number or Post Office Box information) ______________________________________________________ __________________________ _____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________ (Province – if applicable) 7. Principal office street address (Country – if not US) ______________________________________________________ (Street name and number) ______________________________________________________ __________________________ _____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________ (Province – if applicable) (Country – if not US) Rev. 11/16/2005 1 of 3 8. Principal office mailing address (if different from above) ______________________________________________________ (Street name and number or Post Office Box information) ______________________________________________________ __________________________ _____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________ (Province – if applicable) 9. Date of formation of the entity (Country – if not US) ______________________ (mm/dd/yyyy) 10. Date of dissolution (if known) 11. If the entity’s period of duration as amended is less than perpetual, state the date on which the period of duration expires: ______________________ (mm/dd/yyyy) _____________________ (mm/dd/yyyy) OR If the entity’s period of duration as amended is perpetual, mark this box 12. (Optional) Delayed effective date . ______________________ (mm/dd/yyyy) 13. Colorado statute under which the entity existed immediately prior to dissolution ______________________________________________________ 14. All applicable conditions of CRS §7-90-1002 have been satisfied. Notice: Causing this document to be delivered to the secretary of state for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the secretary of state, whether or not such individual is named in the document as one who has caused it to be delivered. 15. Name(s) and address(es) of the individual(s) causing the document to be delivered for filing ____________________ ______________ ______________ _____ (Last) (First) (Middle) (Suffix) ______________________________________________________ (Street name and number or Post Office Box information) ______________________________________________________ __________________________ _____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________ (Province – if applicable) (Country – if not US) Rev. 11/16/2005 2 of 3 (The document need not state the true name and address of more than one individual. However, if you wish to state the name and address of any additional individuals causing the document to be delivered for filing, mark this box name and address of such individuals.) and include an attachment stating the Disclaimer: This form, and any related instructions, are not intended to provide legal, business or tax advice, and are offered as a public service without representation or warranty. While this form is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form. Questions should be addressed to the user’s attorney. Rev. 11/16/2005 3 of 3