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Massachusetts Corporation Application For Revival Form

In the case of a corporation that has been dissolved for more than 10 years in the State of Massachusetts wanting to resume its business operations and return in good standing with the state, the Massachusetts Corporation Application For Revival Form has to be completed and submitted.

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The Commo\bweal\fh of M\fassachuse\f\fs	
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512	
APPLICATION FOR REVIVAL	
(General Laws, Chapter 156B, Section 108)	
FEDERAL IDENTIFICATION
NO. _____________________
Fee: $100.00	
Examiner
P.C.
MSC.2	
1. Exact name of corporation is:
2. Name of applicant is:
3. Address of applicant is:
4. State fully the applicant’s relationship to, or interest in, the c\
orporation:
5. The date of dissolution of the corporation is:
6. The corporation was dissolved under the provisions of General Laws, C\
hapter 156B, Section ______________
7. Describe fully the circumstances leading to the dissolution of this c\
orporation:	
156barev 4/5/00

8. Describe fully the activities, if any, of the corporation since disso\
lution:
9. Does the applicant seek a limited or general revival? If limited, sta\
te fully the reason(s) therefore, and period of time (not to
exceed one year) sought for the revival:
SIGNED UNDER THE PENALTIES OF PERJURY, this ___________ day  of _______________________________ ,  20 _________ ,________________________________________________________________________\
______________ , Signature of Applicant.
I hereby approve the within Application for Revival and, the filing fee in the
amount of $ _________having been paid, said application is deemed to have
been filed with me this _____ day of _________________ , 20 _____ .	
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
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