STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Office of the Secretary of State Corporations Division 148 W. River Street Providence, Rhode Island 02904-2615 (401) 222-3040 INSTRUCTIONS FOR FILING STATEMENT OF REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS BY WRITTEN CONSENT OF THE SHAREHOLDERS Section 7-1.2-1304 of the General Laws of Rhode Island, 1956, as amended The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision. This form and the information provided are not substitutes for the advice and services of an attorney and/or tax specialist. 1. By the written consent of all of a corporation’s shareholders, a corporation may, within 120 days of the effective date of the Articles of Dissolution, revoke voluntary dissolution proceedings previously taken, by filing a Statement of Revocation of Voluntary Dissolution Proceedings by Written Consent of Shareholders (Form No. 109) with the Office of the Secretary of State, Corporations Division, at the above address. When the statement is completed, signed, and submitted with the correct filing fee, the original shall be filed in this office. 2. The Statement of Revocation of Voluntary Dissolution Proceedings by Written Consent of Shareholders must be accompanied by a filing fee of $10.00, and payment should be made payable to the Rhode Island Secretary of State. 3. A copy of the signed written consent of the shareholders to revoke the dissolution proceedings must be attached to the statement. 4. At the time of filing, the corporation must be in good standing and current with the filing of its annual reports and the maintenance of its registered agent and its registered office in this state. 5. The corporation should contact the Corporations Division at (401) 222-3040 to determine whether or not the corporate name is still available for use in this state. If the name is not available, then withdrawal of the Certificate of Dissolution shall be conditioned upon the corporation filing an amendment changing its name to one that is available. 6. The Statement of Revocation of Voluntary Dissolution Proceedings by Written Consent of the Shareholders must be signed by an authorized officer of the corporation. If you have any questions, please call us at (401) 222-3040, Monday through Friday, between 8:30 a.m. and 4:30 p.m. Instructions/Form 109 Revised: 12/05 Filing Fee: $10.00 ID Number: STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Office of the Secretary of State Corporations Division 148 W. River Street Providence, Rhode Island 02904-2615 BUSINESS CORPORATION ___________ STATEMENT OF REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS BY WRITTEN CONSENT OF SHAREHOLDERS Pursuant to the provisions of Section 7-1.2-1304 of the General Laws of Rhode Island, 1956, as amended, the undersigned corporation submits the following statement of revocation of voluntary dissolution proceedings heretofore taken upon the written consent of all of its shareholders: 1. The name of the corporation is 2. The names and respective addresses of its officers are: Name Office Address President Vice President Treasurer Secretary (If more space is required, please list on separate attachment.) 3. The names and respective addresses of its directors are: Name Address (If more space is required, please list on separate attachment.) 4. The written consent has been signed by all shareholders entitled to vote thereon of the corporation or signed in their names by their authorized attorneys. [Attach copy of signed written consent] Form No. 109 Revised: 12/05 5. As required by Section 7-1.2-1306 of the General Laws, the corporation has paid all fees and franchise taxes. 6. This Statement of Revocation of Voluntary Dissolution Proceedings by Written Consent of Shareholders shall be effective upon filing. Under penalty of perjury, I declare and affirm that I have examined this Statement of Revocation of Voluntary Dissolution Proceedings by Written Consent of Shareholders, including any accompanying attachments, and that all statements contained herein are true and correct. Date: Signature of Authorized Officer of the Corporation Type or Print Name of Authorized Officer