Business Agent Registration Form 2003
Download a blank fillable Business Agent Registration Form 2003 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Business Agent Registration Form 2003 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Fees will increase September 1, 2003. If you file this report
before September 1, the fee is $12.50. If you file this report
after September 1, the fee is $20.00.
Contact Information
KANSAS SECRETARY OF STATE
BA
Business Agent Registration
Kansas Secretary of State
Ron Thornburgh
68-01
Memorial Hall, 1st Floor
120 S.W. 10th Avenue
All information must be completed or this document will not be accepted for filing.
Topeka, KS 66612-1594
(785) 296-2239
Reset
Print
For your convenience, this form has been
designed to be filled out online, printed
from your computer and then mailed to our
Applicant’s name:
office. Please be sure all pertinent
information is filled in before printing.
Street address
Once the form is completed, select 'Print' to
print the form. Selecting 'Reset' will clear
City
State
Zip
the entire form.
Do not write in this space
Applicant desires to operate in Kansas as a business agent for:
Organization:
Address:
Daytime phone number:
I am applying for a registration certificate as a business agent of a labor or employee organization. In support of my application, I
make the following statements:
1) I am a citizen of the United States.
2) I have been a resident of Kansas for ________________ .
Registration as a business agent is valid for the calendar year (Jan. - Dec.) in which it is filed, or the business organization’s fiscal year.
Please indicate below the expiration date of this registration:
a) December 31, ______ or b) ___________ , _______ (end of fiscal year)
Year
Month
Year
Signature of applicant
Statement of President and Secretary of Organization:
To the secretary of state, state of Kansas:
The above-named applicant is duly authorized by (name of organization): ____________________________________ to act as
its business agent as such term is defined in sections of K.S.A. 44-802 and 75-4322, as amended.
President (printed or typed)
President (signature)
Secretary (printed or typed)
Secretary (signature)
Instructions
1. Applicant must be a citizen of the United States.
2. Submit registration fee of $20 with application.
3. Any labor organization that has a business agent must file a copy of its constitution and bylaws with the secretary of state before
doing business in Kansas. Amendments or changes to the constitution or bylaws must be filed with the secretary of state within
30 days of their adoption.
Notice: There is a $25 service fee for all returned checks.
K.S.A. 44-804
Rev. 8/11/03 amc
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal