DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS BUSINESS AND PROFESSIONAL LICENSING ADMINISTRATION CORPORATIONS DIVISION Government Of the District of Columbia DCRA\BPLA Corporations Division P.O. Box 92300 WASHINGTON, D.C. 20090 APPLICATION FOR REINSTATEMENT OF CERTIFICATE OF REGISTRATION OF FOREIGN LIMITED LIABILITY COMPANY To: Department of Consumer and Regulatory Affairs Business and Professional Licensing Administration Corporations Division Pursuant to the provisions of Title 29, Chapter 10 of the Code of Laws of the District of Columbia, the undersigned limited liability company hereby petitions and applies for a Certificate of Reinstatement of a proclaimed foreign limited liability company, and hereby certifies as follows: FIRST: The name of the limited liability company at the time of publication of the proclamation was:____________________________________________________________________ SECOND: The new name by which the limited liability company will hereafter be known is: _______________________________________________________________________ THIRD: The Certificate of Organization was revoked on November ___, 20 ___, for failure to file any annual reports for two consecutive years, next proceeding September 30, 20 ____. FOURTH: The Address, including street and number of its registered office and Name of the registered agent in the District of Columbia is: ______________________________________________________________________ FIFTH: This application and petition is accompanied by all delinquent reports together with the filing fees and penalties required by the Code of Laws of the District of Columbia. Date: ______________, 20___. __________________________________________________ Name of Limited Liability Company _______________________________________________ Signature of Authorized Manager or Member American LegalNet, Inc. www.FormsWorkflow.com Filing Fee ....$150 Make Check Payable to D.C. Treasurer 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 Registration” and follow links 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.FormsWorkflow.com