Delaware Division of Corporations 401 Federal Street � Suite 4 Dover, DE 19901 Ph: 302-739-3073 Fax: 302-739-3812 Certificate of Revival of Charter for a Forfeited Corporation Dear Sir or Madam: Enclosed please find a form for a Certificate of Revival of Charter for a forfeited corporation to be filed in accordance with Section 312 of the General Corporation Law of the State of Delaware. The fee to file the Certificate is $169.00. If your document is more than 1 page please, include $9.00 for each additional page. You will receive a stamped "Filed" copy of your submitted document. A certified copy may be requested for an additional $50. Expedited services are available. Please contact our office concerning these fees or you may consult our fee chart at www.corp.delaware.gov. Please make your checks payable to "Delaware Secretary of State". Before the Certificate can be filed, all taxes due to the State at the time the corporation became void must be paid and all applicable Annual Franchise Tax Reports must be filed. The Annual Franchise Tax Reports and Franchise Taxes must be filed and paid online at www.corp.delaware.gov. Please contact the Franchise Tax Section with any questions. For the convenience of processing your order in a timely manner, please include a cover letter with your name, address and telephone/fax number to enable us to contact you if necessary. Please make sure you thoroughly complete all information requested on this form. It is important that the execution be legible, we request that you print or type the name of the person signing under the signature line. Thank you for choosing Delaware as your corporate home. Should you require further assistance in this or any other matter, please don't hesitate to call at (302) 739-3073. Sincerely, Department of State Division of Corporations encl. rev. 08/16 American LegalNet, Inc. www.FormsWorkFlow.com Special Instructions � Revival for Forfeiture This form is to be used as a Template only. The following instructions will help you in correctly completing your Revival Certificate. The instructions will be numbered to correspond with the article it is referencing. 1. The current name of the corporation exactly as it appears in our records. Please visit our website to verify the name and to check for name availability. If the corporation was originally incorporated under a different name, the original name of the corporation must be included in Article 1. 2. List the complete name and address, including county, of the Delaware registered agent you are appointing to accept service of process for the corporation. 3. The date when the corporation was originally formed. 4. A statement that the corporation desiring to be revived was organized under the laws of the State of Delaware. 5. The actual day the corporation was forfeited for failure to obtain a registered agent. Execution Block - The document must be signed by an authorized officer of the corporation pursuant to Section 103 of Title 8. The name of the person must be typed or written legibly underneath the signature. This form contains information required by statute; if you need to add additional information permitted by statute you may draft a new document. Please feel free to call our office at 302-739-3073 for assistance in completing this form. Sincerely, Delaware Division of Corporations American LegalNet, Inc. www.FormsWorkFlow.com STATE OF DELAWARE CERTIFICATE FOR REVIVAL OF CHARTER The corporation organized under the laws of the State of Delaware, the charter of which was forfeited for failure to obtain a registered agent, now desires to procure a revival of its charter pursuant to Section 312 of the General Corporation Law of the State of Delaware, and hereby certifies as follows: 1. The name of the corporation is ________________________________________ _______________________________________________________________________ and, if different, the name under which the corporation was originally incorporated _______________________________________________________________________. 2. The Registered Office of the corporation in the State of Delaware is located at _________________________________________________________________(street), in the City of _____________________________,County of_____________________ Zip Code_________________. The name of the Registered Agent at such address upon whom process against this Corporation may be served is __________________________ _______________________________________________________________________. 3. The date of filing of the Corporation's original Certificate of Incorporation in Delaware was ___________________________________________________________. 4. The corporation desiring to be revived and so reviving its certificate of incorporation was organized under the laws of this State. 5. The corporation was duly organized and carried on the business authorized by its charter until the__________ day of ________________ A.D. ________, at which time its charter became inoperative and forfeited for failure to obtain a registered agent and the certificate for revival is filed by authority of the duly elected directors of the corporation in accordance with the laws of the State of Delaware. By:____________________________________ Authorized Officer Name:____________________________________ Print or Type American LegalNet, Inc. www.FormsWorkFlow.com