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                       kansas                                                                                                                               secretary of state
                       Certificate of Revival
            RR         Corporation and Business Trust

                                                                                                SUBMIT THE DOCUMENTS 
                                                                                                WITHOUT THIS PAGE
               INSTRUCTIONS FOR FILING 

               CERTIFICATE OF REVIVAL

Note: All documents filed by the Secretary of State’s office are considered public record and may be viewable online.

How to complete the certificate of revival for a corporation or                   Domestic corporations and business trusts only: 
business trust:                                                                   If the business entity is a domestic corporation or domestic business 
                                                                                  trust and the name is currently in use, the corporation or business trust 
Each of the numbered instructions below corresponds to a section on               will need to choose one of two options:
the form.
                                                                                     a. Submit the certificate of revival with a letter of consent.
1.  List the business entity’s ID number issued by the Kansas 
            Secretary of State (This is not a tax ID number). ID numbers may         Letter of consent: Pursuant to K.S.A. 17-7933, the letter of 
            be found by clicking on Business Entity Database at https://www.         consent must include an indication that the current business 
            sos.ks.gov/eforms/BusinessEntity/Search.aspx.                            entity consents to the use of the name. This letter must be 
                                                                                     executed by an authorized person for the current business entity 
2.  Provide the complete legal business entity name, including words                 registered.
            of formation (e.g., Inc., Corp., etc.)
                                                                                     b. Provide the current name, indicate that the entity’s name has 
            Check to see if the name of the covered business entity is in use        changed, and provide the new name of the business entity.
            by any other entity already registered with our office online at 
            https://www.sos.ks.gov/eforms/BusinessEntity/Search.aspx.             3.  Provide the name the business entity was originally registered with 
                                                                                     as a corporation or business trust. To view any documents filed 
            Foreign corporations and business trusts only:                           with our office, perform a business search online at https://www.
            If the business entity is a foreign corporation or foreign business      sos.ks.gov/eforms/BusinessEntity/Search.aspx.
            trust and the name is currently in use, the corporation or business 
            trust will need to choose one of three options:                       4.  Provide the date the original articles of incorporation or business 
                                                                                     trust application were filed. To find the date the original articles 
            a. Submit the certificate of revival with a letter of consent.           of incorporation or business trust application were filed, perform 
                                                                                     a business search online at https://www.sos.ks.gov/eforms/
               Letter of consent: Pursuant to K.S.A. 17-7933, the letter of          BusinessEntity/Search.aspx.
               consent must include an indication that the current business 
               entity consents to the use of the name. This letter must be        5.  Provide the date the articles of incorporation or business trust 
               executed by an authorized person for the current business             were forfeited or void. To find the date the articles of incorporation 
               entity registered.                                                    or business trust application became forfeited or void, perform 
                                                                                     a business search online at https://www.sos.ks.gov/eforms/
            b. Submit the certificate of revival with a letter of advertising.       BusinessEntity/Search.aspx.
               Letter of advertising: Pursuant to K.S.A. 17-7933, a letter of     6.  Provide the name of the resident agent.
               advertising must indicate that, in all means of identification and 
               advertising, the business entity will identify as an entity out of    Resident agent: This is either an individual or a business entity 
               their foreign (non-Kansas) state. If the current covered entity is    registered in Kansas (may be the business entity the certificate 
               domesticated in the same foreign state, a letter of advertising       of revival is for) who will receive any legal documents (e.g., 
               can’t be used and a letter of consent from the current business       subpoenas, court orders, summons, etc.) for the business entity 
               entity must be provided.                                              named in section 2. If the resident agent is a business entity, 
                                                                                     search for the legal name of the business at https://www.sos.
            c.  Provide the current name, indicate that the business entity’s        ks.gov/eforms/BusinessEntity/Search.aspx.
               name has changed, and provide the new name of the business 
               entity.                                                            7. Provide the registered office for the resident agent.
                                                                                     Registered office: Must be an address in Kansas where the 
                                                                                     resident agent may be regularly present. The address must include 
                                                                                     the building number, street, city, state, and zip code. This can’t be 
                                                                                     a PO box.
                                                                                  8.  An authorized person on behalf of the entity must sign.

               K.S.A. 17-7002                                                                   Please continue to next page.
Inst.          Rev. 3/26/24 tc



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                  kansas                                                                                                                                 secretary of state
                  Certificate of Revival
            RR    Corporation and Business Trust

                                                                                            SUBMIT THE DOCUMENTS 
                                                                                                     WITHOUT THIS PAGE
            INSTRUCTIONS FOR FILING 

              CERTIFICATE OF REVIVAL

Note: All articles filed by the Secretary of State’s office are considered public record and may be viewable online.

Fee Schedule                                                                 Mail to:

Certificate of Revival                                                       Kansas Secretary of State
                                                                             Memorial Hall, 1st Floor
The filing fee for the certificate of revival is as follows:                 120 SW 10th Avenue
                                                                             Topeka KS 66612
Corporation:
   For-profit: .................................................... $35
                                                                             Checks and credit/debit cards are accepted for payment. Make checks 
   Not-for-profit: ............................................... $20
                                                                             payable to the Kansas Secretary of State. Once processing the 
Business Trust: .............................................. $35
                                                                             certificate of revival is completed, a certified copy of the certificate of 
                                                                             revival will be mailed to the address of the sender.
For for-profit corporations or business trusts that forfeited for failure to 
file an information report on-time, a one-time penalty fee of $85 must 
be included. For corporations or business trusts who forfeited for failure 
to maintain a resident agent, there isn’t a penalty fee.

Not-for-profit corporations do not pay a penalty fee regardless of the 
reason for forfeiture.

Each of the information reports that have not been filed within the 
reporting period that would have been due, limited to the type of 
business entity (instruction following), must be submitted with the 
revival.

Not-for-profit Corporations: Only the most recently passed 
information report and fee must be submitted with the certificate of 
revival.

All other entities: Each of the information reports that have passed 
up to the last 10 years must be submitted with the certificate of revival.

For more information and to download the information reports, go to 
https://www.sos.ks.gov/businesses/information-reports.html.

            K.S.A. 17-7002                                                                            Please proceed to form.
Inst.       Rev. 3/26/24 tc



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               kansas                                                                     secretary of state
               Certificate of Revival
            RR Corporation and Business Trust

                           COVER PAGE 

            CERTIFICATE OF REVIVAL

Note: The credit/debit card information will be destroyed upon the filing of the document.

Contact Information

            Contact Person

            Direct Phone Number for Contact Person

Payment Information

            Credit/Debit Card Number

            Expiration Date (MM/YY)

            Billing Zip Code

            K.S.A. 17-7002
Inst.       Rev. 3/26/24 tc



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                          kansas                                                                                                                       secretary of state
                          Certificate of Revival
            RR            Corporation and Business Trust
                                                                                         Print    Reset
                                                                                                                                                 
      Memorial Hall, 1st Floor                  (785) 296-4564                           Please complete the form, print, sign and mail to the 
      120 S.W. 10th Avenue                      kssos@ks.gov                             Kansas Secretary of State with the filing fee.  Selecting 
      Topeka, KS 66612-1594                     https://sos.ks.gov                       'Print' will print the form and 'Reset' will clear the entire 
                                                                                                  form.

Note: The certificate of revival must be submitted with all information reports and fees due from the time of forfeiture.  
(See instructions for details.)

      1.  Business entity ID number:
            Kansas Secretary of State issued 
            file number.

      2.  Current name of corporation 
            or business trust:
            Must match name on record with 
            the Secretary of State at the time 
            of forfeiting.

      3.  Name the entity originally 
            registered with as a 
            corporation or business 
            trust:
            Leave blank if same as section 2.

      4.  Date of filing the entity’s           Month          Day Year
            articles of incorporation or 
            business trust application:

      5.   Date the articles of                 Month          Day Year
            incorporation or business 
            trust application became 
            forfeited:

      6.   Name of resident agent:
            Must be an individual, the business 
            entity named in section 2, or an 
            entity already registered with our 
            office. Do not leave blank.

      7.  Registered office in Kansas           Street Address (A PO box is unacceptable)
            for the resident agent:
            Must be a street, rural route, 
            or highway. A. PO box is            City                                     State Zip
            unacceptable.
                                                                                         KS

Pursuant to K.S.A. 17-7002(d)(3), the corporation desiring to be revived and reviving its corporate existence was duly 
organized under the laws of the state of its original incorporation.

The certificate of revival is filed by authority of the board of directors or members of the governing body of the 
corporation in accordance with K.S.A. 17-7002(h).

      8.   I declare under penalty of perjury pursuant to the laws of the state of Kansas that the foregoing is true and correct. 

      Signature of Authorized Person

      X

                    K.S.A. 17-7002                                                             Please review to ensure completion.
1 / 1               Rev. 3/26/24 tc






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