Form Rr 53-08 - Corporation Certificate Of Reinstatement - Kansas Secretary Of State
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1Contact Information
KANSAS SECRETARY OF STATE
RR
Kansas Secretary of State
Corporation Certificate of Reinstatement
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
1. The name of the corporation as it existed when the corporation forfeited:
Please complete the form, print, sign and
mail to the Kansas Secretary of State with
the filing fee. Selecting 'Print' will print
___________________________________________________________
the form and 'Reset' will clear the entire
2. Address of registered office in Kansas:
form.
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 corporation was organized in the state of:
4. The corporate existence or authority to engage in business in the state of Kansas: (select one)
___ Has been forfeited for failure to timely file its annual report and pay its franchise fee.
___ Has expired or will expire on the _____ of ______________ , ________ .
Day
Month
Year
Is this reinstatement perpetual? Yes _____ No _____
If no, the term for which this corporation is to exist _________________ .
___ Has been forfeited for failure to designate or maintain a resident agent and registered office.
This certificate is filed by the authority of duly elected directors or members of the governing body of the corporation in compliance with the
provisions of K.S.A. 17-7002.
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
Signature of authorized officer
Instructions
1. Submit this form with the $35 filing fee.
2. A $85 penalty fee must be submitted for for-profit corporations that forfeited for failure to file the annual
report or pay the franchise fee.
3. All past due annual reports must be filed prior to reinstatement.
4. All past due franchise fees must be paid prior to reinstatement.
Notice: There is a $25 service fee for all returned checks.
Rev. 12/07/04 jls
K.S.A. 17-7002
Rev. 8/11/03 jb
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