Form Dmi 53-46 - Certificate Of Domestication To Kansas - Kansas Secretary Of State
ADVERTISEMENT
1KANSAS SECRETARY OF STATE
DMI
Certificate of Domestication
to Kansas
53-46
Foreign Entity Domesticating into Kansas
Kansas Office of the Secretary of State
CONTACT:
Memorial Hall, 1st Floor
(785) 296-4564
120 S.W. 10th Avenue
kssos@sos.ks.gov
Topeka, KS 66612-1594
Above space is for office use only.
All information must be completed or this document will not be accepted for filing.
i
INSTRUCTIONS:
Please read instructions before completing.
Domesticating Entity
(This is the entity as it was known before becoming a Kansas entity)
1. Business entity ID
number:
If the foreign entity is on file
with the Secretary of State. This
is not the Federal Employer
ID Number (FEIN).
_______________________________________
2. Entity name:
_____________________________________________________________________________________
3. Type of entity:
___ For-Profit Corporation
___ General Partnership
___ Limited Liability Partnership
___ Not-for-Profit Corporation
___ Limited Liability Company
___ Limited Partnership
4. State or country of
organization:
_______________________________________
Domesticated Entity
(This is the entity that will be known as the new Kansas entity)
5. Entity name:
_____________________________________________________________________________________
6. Effective date:
Upon filing
__________________________
Future effective date (cannot exceed 90 days from the file date)
Month
Day
Year
This domestication was approved in accordance with the laws of the domesticating entity’s state or country of origin.
The formation document and fee for the domesticated entity are attached.
I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct and that I
have remitted the required fee.
____________________________________________________________
_________________________________
Signature of authorized person of domesticatng entity
Date
____________________________________________________________
____________________________________________
Name of signer, printed or typed
Title
i
Instructions:
1. Submit this form with the $75 filing fee. Include the formation document and fee for the domesticated entity.
2. Fees may be combined in one check. Make checks payable to the Kansas Secretary of State.
There is a $25 service fee for all checks returned by your financial institution.
NOTICE:
Page 1 of 1
K.S.A . 17-78-505, 17-78-506
Rev. 12/27/10 jdr
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal