Kansas Form Fa 51 03 – Fill Out and Use This PDF

All information on the foreign application must be complete and accompanied by the correct iling fee or the document will not be accepted for iling.

1.FILING FEE: The filing fee for this document is $115.

2.PAYMENT: Please enclose a check or money order payable to the Secretary of State. Applications received without the appropriate fee will not be accepted for iling. Please do not send cash. Also, to expedite processing, please do not use staples on your documents or to attach checks.

3.INCLUDE AN ORIGINAL CERTIFICATE OF GOOD STANDING OR EXISTENCE: The certiicate must be issued by the

state, country or other jurisdiction where incorporated attesting to the fact that such foreign corporation is in

good standing in such jurisdiction. The certiicate must be issued within 90 days of iling the application.

4. CORPORATION NAME: The corporate name on all documents must be exactly the same as it appears on the certiicate, including punctuation. If the corporation applying for authority has the same name as an entity already on ile, you may do one of the following:

PInclude a letter of consent from the existing entity to use the name. If the existing entity is a corporation, the consent must be signed by an authorized oficer. A consent from another type of entity must be signed by any authorized person.

PInclude a letter stating that the corporation will list its home state as a means of identiication and in its advertising in the state of Kansas.

The use of a corporate name is governed by K.S.A. 17-7301 (c)(2) and (3). You may view statutes at www.kslegislature.org.

5.RESIDENT AGENT: The resident agent is a person or entity that is authorized to accept service of process

(lawsuits) on behalf of the business entity. This does not necessarily mean that the agent himself/herself is being sued, but that he/she has the authority and responsibility to accept service of process on behalf of the business.

6.REGISTERED OFFICE: The registered ofice is the address where the resident agent is located.

7.MAILING ADDRESS: The mailing address is where you would like to receive oficial mail from the Secretary of State’s ofice.

8.SIGNATURE: The application requires the signature of an authorized oficer.

NOTICE: If the entity has been doing business in Kansas at least six months prior to iling with our ofice, you may owe annual reports and/or penalty fee (K.S.A. 17-7002).

STAY UP-TO-DATE ON YOUR ORGANIZATION’S STATUS, ANNUAL REPORT DUE DATE AND CONTACT ADDRESSES BY GOING TO WWW.SOS.KS.GOV. UNDER QUICK LINKS, SELECT SEARCH BUSINESS ENTITY INFORMATION.

NOTICE: There is a $25 service fee for all checks returned by your inancial institution. All information must be completed or this document will not be accepted for iling.

FA

KANSAS SECRETARY OF STATE

Foreign For-Proit

51-03

Corporation Application

CONTACT: Kansas Ofice of the Secretary of State

Memorial Hall, 1st Floor

(785) 296-4564

120 S.W. 10th Avenue

kssos@sos.ks.gov

Topeka, KS 66612-1594

www.sos.ks.gov

Above space is for ofice use only.

i

INSTRUCTIONS: All information must be completed or this document will not be accepted for iling.

Please read instructions sheet before completing.

1. Name of the

corporation:

Name of corporation must match

the name on record with the

_____________________________________________________________________________________________

home state

2. State/Country of

organization:

_______________________________________

3. Began doing

Upon qualiication

business in Kansas:

______________________________

Month

Day

Year

4. Name of the resident

registered ofice in

agent and address of the

________________________________________________________________________________________

KANSAS:

Name

Address

Address must be a street address

______________________________________KANSAS___________________________________________

A P.O. box is unacceptable

City

State

Zip

5. Principal ofice

address:

________________________________________________________________________________________

Street Address

_______________________________________________________________________________________

City

State

Zip

Country

6. Mailing address:

This address will be used to send

________________________________________________________________________________________

oficial mail from the Secretary

Attention Name

Address

of State’s ofice

_______________________________________________________________________________________

City

State

Zip

7. Tax closing month:

_______________________________________

8.Full nature and character of the business to be conducted in the state

OF KANSAS:	_____________________________________________________________________________________________

9.The corporation hereby consents, without power of revocation, that actions may be commenced against it in the proper court of any county in the state of Kansas where there is a proper venue by service of process on the Secretary of State of the state of Kansas; and the corporation stipulates and agrees that such service shall be taken and held in all courts to be valid and binding as if due service had been made upon an oficer of the corporation.

Rev. 12/27/10 jdr

Page 1 of 2

K.S.A. 17-7301

10.	This corporation is operating as a foreign for-proit corporation.
11.	Duration of the	Perpetual
corporation:
		Date the corporation will cease ______________________________
			Month	Day	Year
12.	Effective date:	Upon iling
A future effective date must be
within 90 days of iling date		Future effective date ______________________________
		Month	Day		Year

13.I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct and that the corporation is in good standing in its home state, and I have remitted the required fee.

________________________________________________________	________________________________________________________
Signature of authorized oficer	Date (month, day, year)

Rev. 12/27/10 jdr

Page 2 of 2

K.S.A. 17-7301