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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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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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