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                     kansas secretary of state           
                     Application for Registration
            FA       Foreign Covered Business

                                                                                              SUBMIT THE DOCUMENTS 
                                                                                                         WITHOUT THIS PAGE
                  INSTRUCTIONS FOR FILING 

                                 APPLICATION

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

How to complete the Foreign Application for a foreign                             5. Provide the registered office for the resident agent.
(non-Kansas) business:
                                                                                     Registered office: Must be an address in Kansas where the 
Each of the numbered instructions below corresponds to a section on                  resident agent may be regularly present. The address must include 
the form.                                                                            the building number, street, city, state, and zip code. This can’t be 
                                                                                     a PO box.
1.  Select the covered business type the business is operating as in 
            their domestic state. This may be found on the certificate issued     6.  Provide the date the covered business began doing business in 
            by the covered business’s domestic state or contact the office that      Kansas. This field may be left blank if this date would be the date 
            issued the certificate for assistance with the covered business’s        the application is filed with the Kansas Secretary of State’s Office. 
            type.                                                                    This date determines if information reports must be filed with the 
                                                                                     foreign application.
2.  Provide the name of the covered business. The name provided must                 Information report: This is a document that is filed every two years 
            match identically to the name as it appears on the certificate from      to maintain good standing with the Kansas Secretary of State. If an 
            the covered business’s domestic state.                                   even year was entered in section 6, the information report would 
            Check to see if the name of the covered business is in use by any        have been filed every following even year, and if an odd year was 
            other business already registered with our office online at https://     entered in section 6, the information report would have been filed 
            www.sos.ks.gov/eforms/BusinessEntity/Search.aspx.                        every following odd year. Perform the following steps for the type 
                                                                                     selected in section 1 to determine how many reports to submit.
            If the name is currently in use, either a letter of consent from the                                  If the business has passed a 
            current business, or a letter of advertising must be submitted with      Not-for-profit corporations:
                                                                                     reporting period for an information report, the foreign application 
            the foreign application.                                                 must be submitted with the most recent information report missed.
            Letter of consent: Pursuant to K.S.A. 17-7933, the letter of consent     All other businesses: Each of the information reports that have 
            must include an indication that the current business consents to         not been filed within the reporting period that would have been 
            the use of the name. This letter must be executed by an authorized       due, limited to the last 10 years of information reports, must be 
            person for the current business registered.                              submitted with the foreign application.
            Letter of advertising: Pursuant to K.S.A. 17-7933, a letter of        7.  Provide the date of organization in the covered business’s 
            advertising must indicate that the business, in all means of             domestic state. This may be found on the certificate issued by the 
            identification and advertising, will identify as a business out of       covered business’s domestic state.
            their foreign (non-Kansas) state. If the current covered business is 
            domesticated in the same foreign state, a letter of advertising can’t 8.  Provide the corporation’s purpose statement. This statement is a 
            be used and a letter of consent from the current business must be        general indication as to the nature of business of the business.
            provided.
                                                                                  9. This section only applies to LLCs that can create series: 
3.  Provide the jurisdiction where the covered business organized. This              These two statements must be reviewed, and at least one of the  
            must be either a U.S. state, U.S. territory, or foreign country.         statements checked for the business to be registered with our 
                                                                                     office as an LLC that can create series in their domestic state. 
4.  Provide the name of the resident agent.                                          If not true, then leave the boxes blank and the LLC will not be 
                                                                                     registered as a series LLC.
            Resident agent: This is either an individual or a business registered 
            in Kansas (may be the business the foreign application is for) who    10.  An authorized person on behalf of the business must sign.
            will receive any legal documents (e.g., subpoenas, court orders, 
            summons, etc.) for the business named in section 2. If the resident 
            agent is a business, search for the legal name of the business at 
            https://www.sos.ks.gov/eforms/BusinessEntity/Search.aspx.

                  K.S.A. 17-7931                                                                          Please continue to next page.
Inst.             Rev. 5/15/24 tc



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Please
Do NotStaple
                   kansas secretary of state   
                   Application for Registration
            FA     Foreign Covered Business

                                                                                          SUBMIT THE DOCUMENTS 
                                                                                                   WITHOUT THIS PAGE
            INSTRUCTIONS FOR FILING 

                           APPLICATION

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

Fee Schedule                                                               Mail to:

Foreign Application                                                        Kansas Secretary of State
                                                                           Memorial Hall, 1st Floor
The filing fee for the foreign application is as follows:                  120 SW 10th Avenue
                                                                           Topeka KS 66612
Corporation:
    For-profit: ................................................... $115
                                                                           Checks and credit/debit cards are accepted for payment. Make checks 
    Not-for-profit:  .............................................. $115
                                                                           payable to the Kansas Secretary of State. Once processing the foreign 
LLC:    .............................................................. $165
                                                                           application is completed, a certified copy of the foreign application will 
LLP:    .............................................................. $165
                                                                           be mailed to the address of the sender.
LP:    .............................................................. $165
Series LLC: .................................................... $165

For all entities, except for not-for-profit corporations, a one-time 
penalty fee of $85 must be submitted if one or more information 
reports are being filed after the business’s forfeiture date. Forfeiture 
dates are 3 months after the end of the reporting period.

If information reports are being submitted, the filing fee for each must 
also accompany the information reports. For more information and 
to download the information reports, go to https://www.sos.ks.gov/
businesses/information-reports.html.

            K.S.A. 17-7931                                                                          Please proceed to form.
Inst.       Rev. 5/15/24 tc



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               kansas secretary of state   
               Application for Registration
            FA Foreign Covered Business

                           COVER PAGE 

               FOREIGN APPLICATION

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

            Billing Zip Code

            K.S.A. 17-7931
Inst.       Rev. 5/15/24 tc



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                        kansas secretary of state        
                        Application for Registration
            FA          Foreign Covered Business
                                                                                               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.
All information on the application for registration must be complete and accompanied by the correct filing fee or the document will not 
be accepted for filing.

      1.  Choose type of covered                       Corporation for profit                  o Limited partnership 
                                                 o
            business:                                 (fee $115) 51-03                               (fee $165) 51-06

                                                 o Corporation not for profit                  o Limited liability partnership 
                                                      (fee $115) 51-17                               (fee $165) 51-18

                                                 o Limited liability company                   o Series limited liability company 
                                                      (fee $165) 51-10                               (fee $165) 51-33

      2.  Name of covered 
            business:
            Must exactly match name on 
            certificate.

      3.  State or foreign country 
            of jurisdiction:

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

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

      6.  Date the covered                       Month           Day                      Year       Provide a date only if this date is in the past. 
            business began doing                                                                     Otherwise, leave blank.
            business in Kansas:

      7.  Date of formation in state             Month           Day                      Year
            or foreign country of 
            jurisdiction:

      8.  Full nature and character 
            of business to be 
            conducted in Kansas:

                 K.S.A. 17-7931                                                                      Please continue to next page.
1 / 2            Rev. 5/15/24 tc



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9. This statement applies only to foreign limited liability companies who may create series in their domestic state and 
 must check the corresponding statements. All other LLCs or business types may skip to section 10.
  The limited liability company is governed by an operating agreement that establishes or provides for the 
 establishment of a series of members, managers, limited liability company interests or assets having separate rights, 
 powers or duties with respect to specified property or obligations of the foreign limited liability company or profits 
 and losses associated with specified property or obligations.
 Check all   The debts, liabilities and obligations incurred, contracted for or otherwise existing with respect to a particular 
 that apply:
             series, if any, are enforceable against the assets of such series only, and not against the assets of the foreign 
      o      limited liability company generally or any other series thereof.
             Any of the debts, liabilities, obligations and expenses incurred, contracted for or otherwise existing with respect 
      o      to the foreign limited liability company generally or any other series thereof shall be enforceable against the 
             assets of such series.

The foreign covered business 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; and the foreign covered business 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 
authorized persons of the foreign covered business.

As of the day of this filing, the foreign covered business exists in good standing under the laws of the jurisdiction of its 
organization.

10.  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                     Name of Signer (Printed or Typed)

X

      K.S.A. 17-7931                                                                Please review to ensure completion.
2 / 2 Rev. 5/15/24 tc






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