Fees will increase September 1, 2003. If you file this report
before September 1, the fee is $20.00. If you file this report after
September 1, the fee is $35.00.
Contact Information
KANSAS SECRETARY OF STATE
RD
Kansas Secretary of State
Certificate of Revocation of Dissolution
Ron Thornburgh
53-01
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
Name of the corporation:
mail to the Kansas Secretary of State with
_____________________________________________________
the filing fee. Selecting 'Print' will print
the form and 'Reset' will clear the entire
_____________________________________________________
form.
Name must match the name on record with the secretary of state
A majority of the stock of the corporation that was outstanding
Do not write in this space
and entitled to vote upon a dissolution at the time of its dissolution
have voted in favor of a resolution to revoke the dissolution.
Officer: Name
Title
Address
City
State
Zip
Directors:
Name
Address
City
State
Zip
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
Attest:
President or vice president
Secretary or assistant secretary
Instructions
1. This revocation of dissolution must be filed prior to the expiration of three years following the dissolution
pursuant to K.S.A.17-6804, or prior to the expiration of time directed by court pursuant to K.S.A.17-6807.
2. Submit this form in duplicate with the $35 filing fee.
Notice: There is a $25 service fee for all returned checks.
K.S.A. 17-7001
Rev. 8/11/03 jb