Free FL.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

Foreign Limited Liability Company Application
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.


FL
51

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1. Name of the limited liability company: ___________________________________________________________
Name must match the name on record with the home 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

2. State of organization: ________________________________________

3. The date of its organization in home state: _____________ ______ _________
Month Day Year

4. The date on which the foreign LLC first did or intends to do business in Kansas:

_____________ ______ _________
Month Day Year

OR

"upon qualification" ___

5. The nature and character of business to be conducted in the state of Kansas:

__________________________________________________________________________________________ __________________________________________________________________________________________

6. The address of the registered office in Kansas (a post office box is unacceptable): _____________________________________________
Street address

_______________________
City

Kansas _______________ ____________
State Zip

and the name of the resident agent at the registered office address: ___________________________________________

7. The address where you would like to receive official mail from the Secretary of State's Office (if no address is given, mail will be sent to the LLC's registered office): _____________________________________________
Street address

_______________________
City

_______________ ____________
State Zip

Official mail should be addressed to the following individual: ________________________________________________
(Optional)
Rev. 9/1/06 nr K.S.A. 17-76,121 1/3

8. 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 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 as valid and binding as if due service had been made upon the members of the foreign limited liability company.

9. If management vests with the members, please provide the name and address of each member. If management vests with managers, the name and business, residence or mailing address of each manager:
Name Street address City State Zip __________________________________________________________________________________________

__________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
(If additional space is necessary, please attach another page.)

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

Executed on the ________ of ___________________ , ___________
Day Month Year

________________________________________________________________
Manager or Member signature

Rev. 9/1/06 nr

K.S.A. 17-76,121 2/3

Instructions
The foreign application must be accompanied by a filing fee and an
original certificate of good standing from the home state.
Please read the following instructions before completing the application.


1. Include an original certificate of good standing or existence. The certificate must be issued by the state, country or other jurisdiction where organized, and include the date of its organization and a statement issued that the foreign limited liability company exists in good standing under the laws of the jurisdiction of its organization. 2. Enclose $165 fee. A fee of $165 must be included with the application. Please do not send cash. 3. Use exact LLC 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: 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 that the LLC will list its home state as a means of identification and in its advertising in the state of Kansas. The use of the LLC name is governed by K.S.A. 17-76,123. You may view statutes at www.kssos.org. 4. Provide a contact person. Enclose a cover letter with the name and phone number of a person we may contact if we have a question about the application. 5. If the entity has been doing business in Kansas six months prior to filing with our office, you may owe annual reports and/or a penalty fee (K.S.A. 17-76,139). Please call our office at (785) 296-4564 with any questions.

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

Rev. 9/1/06 nr

K.S.A. 17-76,121 3/3