MICHAEL A. MAURO Secretary of State State of Iowa APPLICATION FOR REINSTATEMENT (Nonprofit) READ INFORMATION ON THE REVERSE BEFORE COMPLETING TO THE SECRETARY OF STATE OF THE STATE OF IOWA: Pursuant to section 504A.87B of the Iowa Nonprofit Corporation Act, the undersigned corporation applies for reinstatement and states: 1. The name of the corporation on the date of administrative dissolution was: ________________________________________________________________________ 2. The date of the administrative dissolution was: ____________________________________ 3. The ground or grounds for dissolution (check one): did not exist has been eliminated 4. The filling fee of $5.00 is enclosed. Name of the Corporation _____________________________________________________ Signature ________________________________________________________________ Title _______________________________________________ Date ________________ 635_2000 05/01 American LegalNet, Inc. www.FormsWorkflow.com FILING FEE: $5.00 (Make checks payable to SECRETARY OF STATE). The document is to be signed by the chairperson of the board, the president, or other officer of the corporation. If directors have not been selected, the document is to be signed by an incorporator. If the corporation is in the hands of a court-appointed fiduciary, the document is to be signed by the fiduciary. A copy of a signature is acceptable for filing. Verification is not required. One copy of the document is to be delivered to the Secretary of State for filing. If the corporation was administratively dissolved due to failure to maintain a registered agent or registered office, the corporation must name a registered agent and office at the time of filing this application. If the corporation was administratively dissolved due to failure to comply with reporting requirements, the corporation must file all delinquent reports. The reports should accompany the application. The reinstatement relates back to the effective date of the administrative dissolution. SECRETARY OF STATE Corporations Division Lucas Building, 1st Floor Des Moines, IA 50319 Phone: 515/281-5204 FAX: 515/242-5953 American LegalNet, Inc. www.FormsWorkflow.com