Form Dpa 51-04 - Professional Association Articles Of Incorporation

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Contact:
Instructions:
DPA
Kansas Office of the Secretary of State
Professional Association
i
Memorial Hall, 1st Floor
(785) 296-4564
Articles of Incorporation
51-04
120 S.W. 10th Avenue
kssos@sos.ks.gov
Topeka, KS 66612-1594
All information on the articles of incorporation must be complete and accompanied by the correct filing fee or
the document will not be accepted for filing.
1.
The filing fee for this document is $90.
FILING FEE:
2.
Please enclose a check or money order payable to the Secretary of State. Articles received without
PAYMENT:
the appropriate fee will not be accepted for filing. Please do not send cash. Also, to expedite processing,
please do not use staples on your documents or to attach checks.
3.
INCLUDE AN ORIGINAL CERTIFICATE FROM THE REGULATORY BOARD:
The certificate must be issued by the State
regulatory board for each incorporator stating that they are licensed and that the business entity name is
approved.
4.
A word of incorporation must be included in the name per K.S.A. 17-2711. Permitted
CORPORATION NAME:
words of incorporation are “P.A.”, “Professional Association”, or “Chartered”. “P.C. and “Chtd.” are not
permitted. Kansas Statutes can be reviewed at
5.
RESIDENT AGENT:
The resident agent is a person or entity that is authorized to accept service of process (law-
suits) on behalf of the business entity. This does not necessarily mean that the agent himself/herself is being
sued, but that he/she has the authority and responsibility to accept service of process on behalf of the business.
6.
REGISTERED OFFICE:
The registered office is the address where the resident agent is located.
7.
The mailing address is where you would like to receive official mail from the Secretary of
MAILING ADDRESS:
State’s office.
8.
PURPOSE:
Must include a specific professional purpose (ex. Practice of Medicine).
9.
You must have at least one share of stock. Number of shares can only be a numerical value.
STOCK:
10.
An incorporator can be either an individual or a business. This person or entity is
INCORPORATORS:
responsible for the formation of the business created by this filing. The incorporator is not necessarily the owner
and his/her role in the business may cease as soon as the filing is made.
11.
DIRECTORS:
The directors section (question 8) must be completed if the incorporator’s power terminates once
the document is filed.
12.
SIGNATURES:
The signature(s) of the incorporator(s) must match those of the licensee(s) as listed on the
certificate from the State regulatory board.
STAY UP-TO-DATE ON YOUR ORGANIZATION’S STATUS, ANNUAL REPORT DUE DATE AND CONTACT ADDRESSES BY
GOING TO UNDER QUICK LINKS, SELECT SEARCH BUSINESS ENTITY INFORMATION.
There is a $25 service fee for all checks returned by your financial institution.
NOTICE:
All information must be completed or this document will not be accepted for filing.
Instructions Page 1 of 1
K.S.A . 17-2709,
Rev. 12/27/10 jdr
K.S.A. 17-6002

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