Form Revised by South Carolina Secretary of State, August 2016 F0047 STATE OF SOUTH CAROLINA SECRETARY OF STATE APPLICATION FOR REINSTATEMENT OF A CORPORATION DISSOLVED BY ADMINISTRATIVE ACTION PLEASE TYPE OR PRINT CLEARLY IN BLACK INK FILING FEE $25.00 Pursuant to Section 33 - 14 - 22 0 of the 1976 S.C. Code of Laws, as amended , the undersigned hereby applies to the Secretary of State for reinstatement of a corporation dissolved by administrative action , and for that purpose submits the following information : 1. The name of the corporation is : Date of incorporation : Date of dissolution : 2. Complete either . a. Grounds for administrative dissolution did not exist. b. The grounds for administrative dissolution have been eliminated. The grounds for administrative dissolution were: 3. The Section 33 - 4 - 101 of the 1976 S.C. Code of Laws, as amended. Date: Name of Corporation (Signature) ( Print Name) ( Office ) American LegalNet, Inc. www.FormsWorkFlow.com Form Revised by South Carolina Secretary of State, August 2016 F0047 FILING INSTRUCTIONS 1. Two copies of this form, one of which can be either a duplicate original or a conformed copy must be filed. Include a self - addressed stamped envelope to have a filed copy returned to you by mail. If the space in this form is insufficient, please attach additional sheets containing a reference to the appropriate paragraph in this form. 2. Filing fee (Payable to the Secr etary of State at the time of filing this application) - $25.00 DISSOLUTION BY ADMINISTRATIVE ACTION AND MUST BE ACCOMPANIED BY A CERTIFICATE FROM THE SOUTH CAROLINA D EPARTMENT OF REVENUE RECITING THAT ALL STATE TAXES, PENALTIES AND INTEREST OWED BY THE CORPORATION HAVE BEEN PAID. Return to: Secretary of State Attn: Corporate Filings 1205 Pendleton Street, Suite 525 Columbia, SC 29201 American LegalNet, Inc. www.FormsWorkFlow.com