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STATE OF CALIFORNIA. EXEMPT ORGANIZATIONS UNIT MS F120. FRANCHISE TAX BOARD. PO BOX 1286. RANCHO CORDOVA CA 95741-1286 FTB 3557 E (REV 11-2012). SACRAMENTO CA 95857-2021. Before the California Franchise Tax Board. In the Matter of the Application for Certificate of Revivor of: Entity Number. Forms and Publications Search | California Franchise Tax Board. Form Number and/or Keywords. Get Forms Return to Forms and Publications. Corporations that have been forfeited or suspended by the FTB must file form FTB-3557 BC_Application for the Certificate of Revivor, file all late tax3557, Application for Certificate of Revivor - Limited Liability Company. This is only available by request. Please provide your email address and it will be File a Form 199, California Exempt Organization Annual Information Return, FTB 199N, File FTB 3557 BC, Application for Certificate of Revivor, Reinstate with the California FTB: If you have been suspended or forfeited by the California Franchise Tax Board, you will need to pay all outstanding balances File FTB 3557 BC, Application for Certificate of Revivor, (Banks and Corporations), FTB 3557 LLC, Application for Certificate of Revivor, (LLCs), or FTB 3557 E, FTB 3557 BC (REV 03-2015). Entity Name: Address: Print Name. Title. Date. Daytime Phone Number. STATE OF CALIFORNIA. FRANCHISE TAX BOARD. PO BOX 942857.