Free RR.pmd - Kansas

Contact Information
Kansas Secretary of State Ron Thornburgh Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 (785) 296-4564 [email protected]
www.kssos.org


KANSAS SECRETARY OF STATE

Corporation Certificate of Reinstatement
All information must be completed and the required fees submitted or this
document will not be accepted for filing. Please read all instructions
before completing this document.


RR
53-08


Print
1. Business Entity ID Number: ____________________________________

Reset

2. Name of the corporation:

____________________________________________________________
(Name must match name on record with the Secretary of State)

Please complete the form, print, sign and mail to the Kansas Secretary of State with the filing fee. Selecting 'Print' will print the form and 'Reset' will clear the entire form.
Do not write in this space

3. Address of registered office in Kansas (a post office box is unacceptable): Kansas ______________________________________________ _______________________ ________ _________
Street Address City State Zip

4. Name of resident agent at the registered office: ______________________________________________________ 5. The corporation was organized in the state of: _______________________________________________________ 6. The corporate existence or authority to engage in business in the state of Kansas (SELECT ONLY ONE): ___ Has been forfeited for failure to timely file a correct annual report and/or pay the annual report fee or franchise tax. ___ Has expired or will expire on the _________ of _____________________, ____________.

Day Month Year


Is this reinstatement perpetual? Yes _____ No _____ If no, the term for which this corporation is to exist: _________ of _____________________, ____________.
Day Month Year

___ Has been forfeited for failure to designate or maintain a resident agent and registered office. This certificate is filed by the authority of duly elected directors or members of the governing body of the corporation in compliance with
the provisions of K.S.A. 17-7002.
I declare under penalty of perjury pursuant to the laws of the state of Kansas that the foregoing is true and correct and that I have remitted
the required fees.
Executed on the _________ of _____________________, ____________.
Day Month Year

Signature of authorized officer

Name of signer (printed or typed)

Phone number

Rev. 12/1/05 nr

K.S.A. 17-7002 1/3

IMPORTANT INFORMATION
Please read before completing your certificate of reinstatement

Please be aware that reinstating your business entity may be time consuming. Prepare for reinstatement by reviewing the instructions below. If you have questions after reading these instructions, please contact the Secretary of State's Office at (785) 296-4564.

1. All information on the certificate of reinstatement must be complete and all filing fees and/or penalties must accompany the certificate or it will not be accepted for filing. 2. Fees and/or penalties. Submit the form with the $35 filing fee. An $85 penalty fee also must be submitted for all for-profit entities that forfeited for failure to timely file their annual report and pay the annual report fee or franchise tax. 3. Past due annual report fees and/or franchise taxes. To determine fees and/or taxes owed, please refer to the chart below for the tax years for which you are filing past due annual reports.
Annual reports with tax year ending: Franchise tax calculation: Minimum: Maximum:

Prior and up to 2000* 2001 to November 2004* December 2004 to present

$1 for every $1,000 of net worth $2 for every $1,000 of net worth N/A

$35 $55

$2515 $5015

$55 flat filing fee

*Use the attached Franchise Tax Computation Worksheet to help you
determine how much tax is due for each year.


4. The certificate of reinstatement and all past due annual reports and unpaid fees or taxes must be filed at the same time. Please make sure all documents and fees or taxes arrive in the Secretary of State's Office in the same envelope. Make checks or money orders payable to the Kansas Secretary of State. Please do not send cash. 5. If the business name currently on file with the Secretary of State's Office is not available at the time of reinstatement, you may change the business name on the reinstatement form by following this instruction: On question 2, list the business name currently on file, and state that it is changing to a new name. For example: ABC, Inc. changing its name to DEF, Inc.

Notice: There is a $25 service fee for all checks returned by your financial institution.

Rev. 12/1/05 nr

K.S.A. 17-7002 2/3

Franchise Tax Computation Work Sheet

*HELPFUL REMINDERS (The "zero rule") If the corporation has a zero entry in "Total in KS" and a zero entry in "Total Everywhere," the "Percent to KS" is 100 percent, not 0 percent (K.S.A. 17-7501). If the corporation has a numerical entry other than zero in "Total in KS" and a zero entry in "Total Everywhere," "Percent to KS" is 100 percent, not 0 percent. Please use the following calculation for tax years ending through the year 2000:
Total in KS 1. Average value of real and tangible personal property owned or rented during the taxable year: 2. Compensation paid: 3. Sales: Total Everywhere Percent to KS

$__________ $__________ $__________

divided by divided by divided by

$__________ $__________ $__________

= = =

_________%* _________%* _________%* __________%

4. Average percentage of the three percentages (Add percentages and divide by three): Tax Computation 5. Net worth (Total shareholders equity): 6. Average percent (line 4):
7. Multiply line 5 by line 6: 8. Multiply line 7 by .001. This is the franchise tax: 9. Administrative fees: 10. Total Due (line 8 + line 9)

$__________ __________%
$____________ $____________ $ ___________ 15 $____________

Please use the following calculation for tax years ending 2001 to November 2004:
Total in KS 1. Average value of real and tangible personal property owned or rented during the taxable year: 2. Compensation paid: 3. Sales: Total Everywhere Percent to KS

$__________ $__________ $__________

divided by divided by divided by

$__________ $__________ $__________

= = =

_________%* _________%* _________%* __________%

4. Average percentage of the three percentages (Add percentages and divide by three): Tax Computation 5. Net worth (Total shareholders equity): 6. Average percent (line 4):
7. Multiply line 5 by line 6: 8. Multiply line 7 by .002. This is the franchise tax: 9. Administrative fees: 10. Total Due (line 8 + line 9)
Rev. 12/105 nr

$__________ __________%
$____________ $____________

15 $ ___________
$____________
K.S.A. 17-7002 3/3