5. Date the covered entity
See FA-I #5 for additional filings and fees that
Month
Day
Year
began doing business
may be due.
in Kansas if different
than the filing date:
(17-7931(h))
Name
6. Name of resident
agent and address of
registered office in
Street Address
Kansas:
(17-7931(f))
Must be a Kansas street
City
State
Zip
address. A P.O. Box is
KS
unacceptable.
7. Fiscal year end:
8. Full nature and
character of business
to be conducted in
Kansas:
(17-7931(e))
9. The foreign covered entity 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; and the foreign covered entity stipulates and agrees
that such service shall be taken and held in all courts to be valid and binding as if due service had been made
upon the authorized persons of the foreign covered entity.
(17-7931(g))
10a. This statement applies to foreign series limited liability companies only, and applies only if the series limited
liability company is chosen as type of covered entity.
The operating agreement for this LLC provides for the establishment of one or more series. When the company has filed
a certificate of designation for each series, which is to have limited liability, the debts, liabilities, and obligations incurred,
contracted for, or otherwise existing with respect to a particular series of the limited liability company are enforceable
against the assets of such series only, and not against the assets of the limited liability company generally or any other
series thereof, and none of the debts, liabilities, obligations, and expenses incurred, contracted for, or otherwise existing
with respect to the limited liability company generally or any other series thereof shall be enforceable against the assets of
such a series.
(17-76,143(o))
10b. This statement applies to foreign limited liability partnerships only, and applies only if the foreign limited liability
partnership is chosen as type of covered entity.
The above-named partnership elects to be a foreign limited liability partnership.
(56a-1001(c)(3))
11. I declare under penalty of perjury pursuant to the laws of the state of Kansas that the foregoing is true and
correct.
(17-1709)
Signature of Authorized Person (17-7931)
Name of Signer (Printed or Typed)
2 / 2
Please review to ensure completion.
K.S.A. 17-7931
Rev. 12/15/17 tc