DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS BUSINESS AND PROFESSIONAL LICENSING ADMINISTRATION CORPORATIONS DIVISION Government Of the District of Columbia DCRA Corporations Division P.O. Box 92300 WASHINGTON, D.C. 20090 APPLICATION AND PETITION FOR REINSTATEMENT OF ARTICLES OF INCORPORATION FOR PROFIT AND NON-PROFIT CORPORATIONS To: The Department of Consumer and Regulatory Affairs Washington, D.C. Pursuant to the Business Corporation Act, (D.C. Code, 2001 edition, Title 29, Chapters 1& 3, as amended), the undersigned corporation hereby petitions and applies for a Certificate of Reinstatement of a proclaimed domestic corporation and hereby certifies as follows: FIRST: The name of the corporation at the time of publication of the proclamation was ________________________________________________________________________ SECOND: The new name by which the corporation will hereafter be known is ________________________________________________________________________ THIRD: The Certificate of Incorporation was revoked on September ______, ___ for failure and/or refusal to file any annual report for two consecutive years, next preceding June 30, ____. FOURTH: The address, including Street and number, if any, of the registered office in the District of Columbia is_______________________________ and the name of the registered agent at such address is: ________________________________________________________________________ FIFTH: This application and petition is accompanied by all delinquent reports together with requisite filing fees, plus interest hereon and penalties required by the Code of Laws of the District of Columbia. Date _________, ____. Corporate Name _________________________________________________________________ CORPORATE SEAL By (Its President or Vice President) ___________________________________________________ ATTEST: (Its Secretary or Assistant Secretary) __________________________________________ FEES DUE: Business Non-Profit Filing Fee ........$250.00 Filing Fee ............ $40.00 Indexing Fee ... Indexing Fee……. $30.00 Total ...............$250.00 Total ................... $70.00 American LegalNet, Inc. www.USCourtForms.com For General Information Call: The Corporations Division - (202) 442-4432 Please check our corporate website to view organizations required to register, to search business names, to obtain step-by-step guidelines to register an organization, to search registered organizations, and to download forms and documents. Simply log onto our website at www.dcra.dc.gov, click on “Corporate Registrations” and procedure as prompted. To ensure timely and accurate processing of this document, mail all required forms and payment to: Department of Consumer and Regulatory Affairs Corporations Division P.O. Box 92300 Washington, D.C. 20090 For Overnight Delivery send to: Corporate Bank of America Attention: D.C. Government Wholesale Lockbox # 92300 Mail code MD4-301-18-04 18th floor 225 North Calvert Street Baltimore, Maryland 21202 American LegalNet, Inc. www.USCourtForms.com