District of Columbia Government Corporations Division Application for Reinstatement for Foreign Non-Profit Corporation Form FNP-3, Version 2, July 2010. Use this form (FNP-3) to reinstate your foreign nonprofit corporation. ENTITY TYPE FILING FEE Foreign Non-Profit Corporation Refer to Corporate Fee Schedule posted online; Under the provisions of the Non-Profit Corporation Act, DC Official Code (DCOC) Title 29 Chapter 3, the corporation listed below hereby applies for a Certificate of Reinstatement to conduct its affairs in the District of Columbia, and for that purpose states as follows: 1. Entity Name: 2. Incorporated under the laws of which state or country: 3. Date of Incorporation: 4. Term of Existence: 5. Date you started or will start transacting business in the District of Columbia: 6. Address of corporation in state where it is incorporated. 7a. Registered Agent in the District of Columbia at the time of proclamation: 7b. That Registered Agent's address: 8. Briefly describe the specific proposed activity the corporation will transact in the District of Columbia: Attach sheet if needed. 9. List all corporation directors and officers: (attach list if needed) TITLE NAME ADDRESS 10. Attach any DCOC-required delinquent reports and filing fees and penalties. 11. Select the corporate officer executing this form: President Vice-President 13. Select corporate officer executing this form: Secretary 12. Signature: 14. Signature: Assistant Secretary If you sign this application, you agree that you understand that anyone who makes a false statement anywhere on it can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405. Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442-4400 Please check dcra.dc.gov to view organizations required to register, to search business names, to get step-by-step guidelines to register an organization, to search registered organizations, and to download forms and documents. Just click on "Corporate Registrations." American LegalNet, Inc. www.FormsWorkFlow.com