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Professional Fund Raiser'S Bond Form - Kansas Secretary Of State/corporations Division

Secretary of State/Corporations Division

Form

Professional Fund Raiser’s Bond

Know All Persons By These Presents:

That we,

_____________________________________________________________________________________________

as principal, and we,

_____________________________________________________________________________________________

as corporate surety, are held and firmly bound unto the people of the State of Kansas in the penal sum of FIVE THOUSAND

AND NO/100 DOLLARS ($5,000.00), lawful money of the United States, to the payment of which, true to be made, we bind

ourselves, our heirs, executors, administrators, and assigns, firmly by these presents. The condition of the above obligation is

such that whereas, the above bounden

_______________________________________________________________________________________________________

___________________________________________________________ has on this __________________day of

_________________________________________ , _______ , filed an application with the Secretary of State of the

Year

State of Kansas for registration or reregistration as a professional fund raiser in the State of Kansas for the period ending

June 30, ______.

Year

NOW, THEREFORE, if said

____________________________________________________________________________

shall honestly and properly engage in business as a professional fund raiser in accordance with the

act and shall not injure any person by any unlawful act of the principal or his employees or agents, then this obligation to be

void and of no effect; otherwise any person may bring an action on the bond in his own name to recover damages suffered by

reason of the occurrence of any such unlawful act.

WITNESS OUR HANDS, This _______________________ day of ________________________________ , _______.

Year

___________________________________________________________

Principal

___________________________________________________________

Surety

___________________________________________________________

The named SURETY must be

licensed in the State of Kansas

Note: Bond must accompany application for registration or reregistration as a professional fund raiser.

Rev. 12/99 kp

Professional Fund Raiser'S Bond Form - Kansas Secretary Of State/corporations Division