1. (1) A limited liability company that has been administratively dissolved by the Division may apply for reinstatement at any time.

2. (2) The application for reinstatement consists of a form supplied by the Division or a document formatted in the same manner as the Division form. The application for reinstatement shall set forth:

   1. (a) the exact name of the limited liability company;
   2. (b) the street address of the resident agent's office and the name of the resident agent;
   3. (c) the effective date of the limited liability company's administrative dissolution;
   4. (d) a statement that the grounds for administrative dissolution did not exist or have been eliminated; and
   5. (e) a statement that the name of the limited liability company satisfies the requirements of M.G.L. c. 156C, § 3 or the limited liability company shall simultaneously submit a certificate of amendment to change its name to a name that satisfies the requirements.

The reinstatement shall be effective at the time and on the date approved by the Division.