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Tatement and states: 1. The name of the business entity on the date of administrative dissolution was: 2. The date of the administrative dissolution was: 3. The ground(s) for dissolution did not exist or has been eliminated. 4. The business entity applies for reinstatement under the name: (Complete only if the name of the business entity at the time of the administrative dissolution is no longer available on the records in this office.) 5. The federal tax I.D. number of the business en.

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