PDF document

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Please
Do NotStaple
secretary ofkansas All information on the application must be state
complete and accompanied by the correct
Foreign Limited Liability
FL filing fee or the document will not be
51-10 Company Application accepted for filing.
Instructions

Kansas Office of the Secretary of State: Stay up-to-date on your organization’s
status, annual report due date and contact
Memorial Hall, 1st Floor (785) 296-4564 addresses by going to www.sos.ks.gov .
120 S.W. 10th Avenue kssos@sos.ks.gov
Topeka, KS 66612-1594 www.sos.ks.gov

o Original certificate The certificate* must be issued by the state, country or other jurisdiction where organized
of good standing or attesting to the fact that such foreign limited liability company is in good standing in such
existence
jurisdiction. The certificate* must be issued within 90 days of filing the application.

* For Texas, send a certificate of fact-status from the Texas Secretary of State.

o Filing fee The filing fee for this document is $165.

o 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 filing. Please do not send cash.
NOTICE: There is a $25 service fee for all checks returned by your financial institution. Also,
to expedite processing, please do not use staples on your documents or to attach
checks.

o Company name The limited liability company name on all documents must be exactly the same as it appears
on the certificate, including punctuation. If the LLC applying for authority has the same name
as an entity already on file, you may do one of the following; per K.S.A. 17-7933(b)(2).

• Include 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 officer. A consent from
another type of entity must be signed by any authorized person.

• Include a letter stating the LLC will list its home state as a means of identification and
in its advertising in the state of Kansas.

You may view statutes at www.ksrevisor.org.

o 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 is
being sued, but that it has the authority and responsibility to accept service of process on
behalf of the business.

o Registered office The registered office is the address where the resident agent is located.

o Mailing address The mailing address is where you would like to receive official mail from the Secretary of
State’s Office.

o Signature The application requires the signature of an authorized officer.

NOTICE: If the entity has been doing business in Kansas at least six months prior to filing with
our office, it may owe annual reports and/or penalty fee (K.S.A. 17-76, 139)

K.S.A. 17-7931 Please proceed to form.
Inst. Rev. 1/3/17 tc

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Please
Do NotStaple
Print Reset
secretary ofkansas state
Foreign Limited Liability Please complete the form, print, sign and mail to the
FL Kansas Secretary of State with the filing fee. Selecting
51-10 Company Application 'Print' will print the form and 'Reset' will clear the entire
THIS SPACE FOR OFFICE USE ONLY.
form.

Kansas Office of the Secretary of State:

Memorial Hall, 1st Floor (785) 296-4564 A certificate of existence or good standing
120 S.W. 10th Avenue kssos@sos.ks.gov from the home Secretary of State must
Topeka, KS 66612-1594 www.sos.ks.gov accompany this application.

Instructions: All information must be completed or this document will not be accepted for filing.

1. Name of limited
liability company
Must match the name on
record with the home state

2. State/Country of
organization

3. Original certificate of good standing or existence from home jurisdiction.

Month Day Year
4. Date of organization
in home state

Month Day Year
5. Began doing business o Upon qualification o Date
in Kansas

Name
6. Name of resident
agent and address of
registered office in Street Address
Kansas
Must be a Kansas street
address. A P.O. Box is
unacceptable. City State Zip
KS

Attention Name
7. Mailing address
Address will be used to send
official mail from the Secretary Address
of State’s Office.

City State Zip Country

K.S.A. 17-7931 Please continue to next page.
1 / 2 Rev. 1/3/17 tc

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8.   Tax closing month

9.   Full nature and 
character of the 
business to be 
conducted in Kansas

9.   The limited liability company 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 limited liability company 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 
the members of the foreign limited liability company.

10.   I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct, and 
that the company is in good standing in its home state, and I have remitted the required fee.
Signature of Manager or Member                       Month                                   Day Year

      K.S.A. 17-7931                                 Please review to ensure completion.
2 / 2 Rev. 1/3/17 tc

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