New York State Department of State Division of Corporations, State Records and Uniform Commercial Code One Commerce Plaza, 99 Washington Avenue Albany, NY 12231 www.dos.state.ny.us CERTIFICATE OF ANNULMENT OF DISSOLUTION AND REINSTATEMENT OF CORPORATE EXISTENCE OF (Exact Name of Corporation) Under Section 1012 of the Not-for-Profit Corporation Law FIRST: The name of the corporation is: If the name of the corporation has been changed, the name under which it was formed is: SECOND: The certificate of incorporation was filed by the Department of State on: (Must include month, day and year) THIRD: The law under which the corporation was formed is: FOURTH: The corporation has failed to deliver to the Department of State a certificate as required by subdivision one of Section 57 of the Membership Corporations Law. FIFTH: The corporation hereby elects to ne reinstated and to continue its corporate existence. SIXTH: Under Section 201 of the Not-for-Profit Corporation Law the corporation is a Type corporation. (A,B,C or D) X (Signature) (Type or Print Name of Signer) (Title of Signer) DOS-0639-f-l (Rev. 05/10) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF ANNULMENT OF DISSOLUTION AND REINSTATEMENT OF CORPORATE EXISTENCE OF (Exact Name of Corporation) Under Section 1012 of the Not-for-Profit Corporation Law Filed By: Name: Mailing Address: City, State and Zip Code: NOTE: This form was prepared by the New York State Department of State. You are not required to use this form. You may draft your own form or use forms available at legal stationery stores. The Department of State recommends that all documents be prepared under the guidance of an attorney. The certificate must be submitted with a $30 filing fee. For Office Use Only DOS-0639-f-l (Rev. 05/10) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com