Form 170801 "Certificate of Revival for a Foreign Limited-Liability Company (Pursuant to Nrs Chapter 86)" - Nevada

What Is Form 170801?

This is a legal form that was released by the Nevada Secretary of State - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2015;
  • The latest edition provided by the Nevada Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 170801 by clicking the link below or browse more documents and templates provided by the Nevada Secretary of State.

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Download Form 170801 "Certificate of Revival for a Foreign Limited-Liability Company (Pursuant to Nrs Chapter 86)" - Nevada

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*170801*
*170801*
BARBARA K. CEGAVSKE
Secretary of State
202 North Carson Street
Carson City, Nevada 89701-4201
(775) 684-5708
Website: www.nvsos.gov
Certificate of Revival
(PURSUANT TO NRS CHAPTER 86)
Page 1
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
Certificate of Revival for a Foreign Limited-Liability Company
(Pursuant to NRS Chapter 86)
1. Name of limited-liability company:
2. Registered Agent for service of process:
(check only one box)
Commercial Registered Agent:
Name
Noncommercial Registered Agent
Office or Position with Entity
(name and address below)
(name and address below)
Name of Noncommercial Registered Agent OR Name of Title of Office or Other Position with Entity
NEVADA
City
Zip Code
Street Address
NEVADA
City
Zip Code
Mailing Address (if different from street address)
3. Date when foreign registration of charter is to commence or be effective, which may be before
the date of the certificate:
(month, day, year)
4. Indicate whether or not the foreign registration is to be perpetual, and, if not perpetual, the time
for which the revival is to continue. The corporation's existence shall be:
PERPETUAL or
(Time for which the revival is to continue)
Nevada Secretary of State 86 Foreign Revival Page 1
This form must be accompanied by appropriate fees
Revised: 10-1-15
*170801*
*170801*
BARBARA K. CEGAVSKE
Secretary of State
202 North Carson Street
Carson City, Nevada 89701-4201
(775) 684-5708
Website: www.nvsos.gov
Certificate of Revival
(PURSUANT TO NRS CHAPTER 86)
Page 1
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
Certificate of Revival for a Foreign Limited-Liability Company
(Pursuant to NRS Chapter 86)
1. Name of limited-liability company:
2. Registered Agent for service of process:
(check only one box)
Commercial Registered Agent:
Name
Noncommercial Registered Agent
Office or Position with Entity
(name and address below)
(name and address below)
Name of Noncommercial Registered Agent OR Name of Title of Office or Other Position with Entity
NEVADA
City
Zip Code
Street Address
NEVADA
City
Zip Code
Mailing Address (if different from street address)
3. Date when foreign registration of charter is to commence or be effective, which may be before
the date of the certificate:
(month, day, year)
4. Indicate whether or not the foreign registration is to be perpetual, and, if not perpetual, the time
for which the revival is to continue. The corporation's existence shall be:
PERPETUAL or
(Time for which the revival is to continue)
Nevada Secretary of State 86 Foreign Revival Page 1
This form must be accompanied by appropriate fees
Revised: 10-1-15
BARBARA K. CEGAVSKE
Secretary of State
202 North Carson Street
Carson City, Nevada 89701-4201
(775) 684-5708
Website: www.nvsos.gov
Certificate of Revival
(PURSUANT TO NRS CHAPTER 86)
Page 2
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
5. Names and addresses of managers, or if there are no managers, all of the managing members
must be set forth:
(additional pages may be attached as necessary)
Manager or Managing Member
Name
Address
City
State
Zip Code
Manager or Managing Member
Name
Address
City
State
Zip Code
Manager or Managing Member
Name
Address
City
State
Zip Code
Manager or Managing Member
Name
Address
City
State
Zip Code
Manager or Managing Member
Name
Address
City
State
Zip Code
Nevada Secretary of State 86 Foreign Revival Page 2
This form must be accompanied by appropriate fees
Revised: 10-1-15
BARBARA K. CEGAVSKE
Secretary of State
202 North Carson Street
Carson City, Nevada 89701-4201
(775) 684-5708
Website: www.nvsos.gov
Certificate of Revival
(PURSUANT TO NRS CHAPTER 86)
Page 3
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
6. The undersigned declare that the foreign limited-liability company desires to revive its
registration and is, or has been, organized and carrying on the business authorized by its existing
or original registration and amendments thereto, and desires to continue through revival its
existence pursuant to and subject to the provisions of NRS 86.5467.
7. The undersigned declares that he/she has obtained approval by written consent of the majority
in interest and that this consent was secured.
I declare under the penalty of perjury that the revival has been authorized by a court of competent jurisdiction or by
the duly selected manager or managers of the entity or if the entity has no managers, its managing members.
I declare, to the best of my knowledge under penalty of perjury, that the information contained herein is correct and
acknowledge that pursuant to NRS 239.330, it is a category C felony to knowingly offer any false or forged instrument
for filing in the Office of the Secretary of State.
X
Signature
Date
A REGISTERED AGENT ACCEPTANCE MUST ACCOMPANY THIS CERTIFICATE
IMPORTANT:
Failure to include any of the above information and submit with the proper fees may cause this filing to be rejected.
RESET
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This form must be accompanied by appropriate fees
Nevada Secretary of State 86 Foreign Revival Page 3
Revised: 10-1-15
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