Contact Information
KANSAS SECRETARY OF STATE
FA
Kansas Secretary of State
Foreign Corporation Application
Ron Thornburgh
Memorial Hall, 1st Floor
51
All information must be completed or this document will not be accepted for filing.
120 S.W. 10th Avenue
Topeka, KS 66612-1594
(785) 296-4564
Print
Reset
Please complete the form, print, sign and
1. Name of the corporation:
mail to the Kansas Secretary of State with
______________________________________________
the filing fee. Selecting 'Print' will print the
form and 'Reset' will clear the entire form.
Name of corporation must match the name on record with home state
2. State of organization: __________________________________
Do not write in this space
3. For profit
Not for profit
4. The date the corporation began doing business in Kansas, or intends to begin doing business in Kansas:
___________ ______ _______
OR
"upon qualification"
Month
Day
Year
5. The address of the corporation's principal office:
________________________________ __________________ ___________ _________ ____________
Street address
City
State
Zip
Country
6. The address of the registered office in Kansas:
Kansas
________________________________
________________________ ________________
___________
Street address
City
State
Zip
and the name of the resident agent at the registered office address: _____________________________________________________
7. The nature of business to be conducted in the state of Kansas:
___________________________________________________________________________________________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
8. 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 proper venue by service of process on the Kansas Secretary of
State; and the corporation stipulates and agrees that such service shall be taken and held in all courts to be as valid and
binding as if due service had been made upon the corporation.
9. The corporation’s fiscal year closing date is: ___________
_______
Month
Day
I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct and that the corpora -
tion is in good standing in its home state.
_______________________________________________________ ___________ ________
___________
Signature of authorized officer
Month
Day
Year
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