Form Rc 53-08 - Reinstatement Of Llc
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1Contact Information
KANSAS SECRETARY OF STATE
RC
Kansas Secretary of State
Reinstatement of Limited Liability Company
Ron Thornburgh
53-08
Memorial Hall, 1st Floor
All information must be completed or this document will not be accepted for filing.
120 S.W. 10th Avenue
Topeka, KS 66612-1594
(785) 296-4564
Print
Reset
Please complete the form, print, sign and
mail to the Kansas Secretary of State with
1. Name of the limited liability company:
the filing fee. Selecting 'Print' will print
__________________________________________________
the form and 'Reset' will clear the entire
form.
2. Address of the registered office in Kansas:
Address must be a street address. A post office box is unacceptable.
Do not write in this space
__________________________________________________
Street address
Kansas
_____________________
____________
___________
City
State
Zip
Name of resident agent at the registered office: _____________________________________________________________________
3. The limited liability company was organized in the state of ______________________________________ on the
________ of ______________ , ___________ .
Day
Month
Year
The articles or authority to engage in business in the state of Kansas has been declared forfeited by the Kansas secretary of state for
failure to timely file an annual report and pay the franchise fee.
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
Authorized signature
Instructions
1. Submit this form with the $35 filing fee.
2. A $85 penalty fee must be included for failure to file the annual report or pay the franchise fee.
3. All past due annual reports must be filed prior to reinstatement.
Notice: There is a $25 service fee for all returned checks.
Rev. 12/08/04 jls
K.S.A. 17-76,139
Rev. 8/11/03
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