Application for Reinstatement
(Submit with a filing fee of S55.00 }Or General Business, $25.00 for Nonprofit)
I. The corporation's name is: Lewts Block apply anipoLny
Charter Number: 00 81 1990
2. The date of the forfeiture/administrative dissolution was: 11 / 26 / 13
3. The grounds for forfeiture/administrative dissolution which have been eliminated were:
(Check all that may apply)
Failing to file an annual registration report;
Failing to maintain a registered agent or office;
Failing to extend the- period of duration;
Procuring its Charter/Authorization by fraud;
Other
4. Attached is a certificate of tax clearance from the Department of Revenue reciting that all state taxes have been paid.
In Affirmation thereof, the facts stated above are true and correct:
(T e undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo)
Ithorizt 'nature of officer or chairman of the board Dwayne. Printed E. Name Lewis Pres,' Title de n + 14-ALF/N- Date
State of Missouri
Reinsta e - Gene al Businss 2 Page(s)
State of Missouri Jason Kander
Jason Kander, Secretary of State Secretary of State
Corporations Division
PO Box 778 / 600 W. Main St., Rm. 322
Jefferson City, MO 65102
File Number:
00811990
Date Filed: 0411712014
Name and address to return filed document: 111111111111111111111111111,1111111111 11111111111111111111111
0
64y, /Ab WOO Corp. 50A D (1. 2/20 10)
Name . Diva l fte, E. LzW15 Lewis 81.ck = 401. 1 Colocvly
Address: 5oos Prove.c± *lot
City. State, and Zip Code: V0- 7 11 - a 5
Block apply Lewts
0411712014
00811990
State of Missouri
Application for Reinstatement
Jefferson City,
MO
Corporations Division PO Box 778 / 600 W. Main St., Rm. 322
65102
Kander Jason Jason Kander,
Secretary of State of State Secretary
/ / 11 26 13
14-ALF/N-
Dwayne. Lewis E.
de + Pres,' n