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Kansas Corporation Certificate of Reinstatement

In the case of a dissolved corporation that has been previously registered in the State of Kansas wanting to return back in good standing and resume its business operations in the state, the following form has to be completed and submitted.

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Contact:  
Kansas Office of the Secretary of State
Memorial Hall, 1st Floor
120 S.W. 10th Avenue
Topeka, KS 66612-1594	 	
(785) 296-4564
[email protected]
www.sos.ks.gov	
RR
53-08	
Instructions:	   	
For-Profit Corporation 
Certificate of Reinstatement	
i	
Instructions Page 1 of 1	Rev. 12/27/10 jdr	K.S.A. 17-7002	
All information on the certificate of reinstatement must be complete and accompanied by the correct filing fee 
or the document will not be accepted for filing.
1. FILING FEE:  	The filing fee for the reinstatement is 	$35	.  An 	$85	 penalty fee also must be submitted for 	
all for-profit entities that forfeited for failure to timely file their annual report and pay the annual report 
fee or franchise tax.  	 	
2. PAYMENT:  	Please enclose a check or money order payable to the Secretary of State. Reinstatements received 	
without the appropriate fee will not be accepted for filing. Please do not send cash.
3. 	PAST DUE ANNUAL REPORT FEES/OR FRANCHISE TAXES:	  To determine fees and/or taxes owed, please refer to the 	
chart below for the tax years for which your are filing past due annual reports.    
Annual reports with tax year ending:	 	Franchise tax calculation:	 	Minimum:	  	Maximum:	
Prior and up to 2000*     $1 for every $1,000 of net worth       $35         $2515
2001 to November 2004*      $2 for every $1,000 of net worth       $55         $5015
December 2004 to present               N/A       $55 flat filing fee
*Use the attached Franchise Tax Computation Worksheet to help you determine how much tax is due for each year.  
4. MAILING REQUIREMENT:	 The certificate of reinstatement and all past due annual reports and unpaid fees or 	
taxes must be filed at the same time.  Please make sure all documents, fees and/or taxes are mailed in the 	same 	
envelope	.  	
5. 	ENTITY NAME:	 If the business entity name currently on file with the Secretary of State’s office is 	not	 available at 	
the time of reinstatement, you may change the entity name on the reinstatement form by following this 
instruction:  On question 2, list the entity name currently on file, and state that it is changing to a new name.  
       For example:  	ABC, Inc changing its name to DEF, Inc	 	
6. 	RESIDENT AGENT:	 The resident agent is a person or entity that is authorized to accept service of process 	
(lawsuits) on behalf of the business entity.  This does not necessarily mean that the agent himself/herself is 
being sued, but that he/she has the authority and responsiblity to accept service of process on behalf of the 
business.
7. 	REGISTERED OFFICE:	  The registered office is the address where the resident agent is located.   	
8. 	MAILING ADDRESS:	 If the entity’s mailing address where you would like to receive official mail from the 	
Secretary of State’s office needs to be updated, please include the mailing address change (Form MA) with the 
reinstatement.  If the new mailing address is indicated on an annual report filed with the reinstatement, the MA 
form is not necessary.  
 
STAY UP-TO-DATE ON YOUR ORGANIZATION’S STATUS, ANNUAL REPORT DUE DATE AND CONTACT ADDRESSES BY 
GOING TO WWW.SOS.KS.GOV.  UNDER QUICK LINKS, SELECT SEARCH BUSINESS ENTITY INFORMATION. 
NOTICE: 	There is a $25 service fee for all checks returned by your financial institution.	 	
All information must be completed or this document will not be accepted for filing.

7. 	  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.  	
Above space is for office use only.	
    _______________________________________	
CONTACT:	  Kansas Office of the Secretary of State	
Memorial Hall, 1st Floor
120 S.W. 10th Avenue
Topeka, KS 66612-1594	 	
(785) 296-4564
[email protected]
www.sos.ks.gov	
RR
53-08	
KANSAS SECRETARY OF STATE
For-Profit Corporation Certificate of 
Reinstatement	
INSTRUCTIONS:  	All information must be completed or this document will not be accepted for filing. 	 	
Please read instructions sheet before completing.	i	
1.  Business entity ID number:This is not the Federal Employer ID Number (FEIN)
2. 	 Name of corporation:	Name must match the name on record with the Secretary of State
________________________________________________________    ____________\
__________________________________________	__   	    Signature of authorized officer                Date (month, day, year)	 ________________________________________________________    	     	 	 Na	me of signer (printed or typed)                               	  	                          
                               
4. 	  The name of the 	resident agent and address of the registered office in Kansas:Address must be a street address A P.O. box is unacceptable	
    ______________________________________	_	
3.  State/Country	of organization:	
    ____________________________________________________________________\
___________________	_	
Page 1 of 1	Rev. 12/27/10 jdr	K.S.A. 17-7002	
________________________________________________________________________\
________________  Name
________________________________________________________________________\
_______________	_  	   Street Address
______________________________________	Kansas	_______________________________________	___ 	   City                                State                      Zip                                                \
      	
5. 	 Reason for forfeiture:	
Has been forfeited for failure to timely file a correct annual report and/or pay the annual report fee or franchise tax. 
Has expired or will expire on the
Has been forfeited for failure to designate or maintain a resident agent and registered office.	  	
6. 	  Duration of the 	corporation:	Perpetual
Date the corporation will cease	_____________________________	_ 	   Month               Day                     Year          	
8.  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. 	  	
_____________________________	_ 	
   Month              Day                     Year          	
The corporate existence or authority to engage in business in the state of Kansas (SELECT ONLY ONE):

*HELPFUL REMINDERS  (The “zero rule”) If the corporation has a zero entry in “Total in KS” and a zero entry in 
“Total Everywhere,” the “Percent to KS” is 100 percent, not 0 percent (K.S.A. 17-7501). If the corporation has a 
numerical entry other than zero in “Total in KS” and a zero entry in “Total Everywhere,” “Percent to KS” is 100 
percent, not 0 percent.
Please use the following calculation for tax years ending through the ye\
ar 2000:
                  	Total in KS	  	                Total Everywhere  Percent to KS	
1. Average value of real and tangible
 personal property owned or rented
 during the taxable year:        $__________    divided by $__________       =        __________%*
 
2. Compensation paid:        $__________    divided by  $__________       =        __________%*
3. Sales:            $__________    divided by  $__________       =        __________%*
 
4. Average percentage of the three percentages (Add percentages and divide by three):        ___________%
Tax Computation
5. Net worth (Total shareholders equity):                                	$__________	
6. Average percent (line 4):	                     __________%	
7. Multiply line 5 by line 6:                                   $__________	__	
8. Multiply line 7 by .001.  This is the franchise tax: 	                            	  $_________	___	
9. Administrative fees:                                    $ __________	_	
10. Total Due (line 8 + line 9)                                 $____	___	____	_	
 	
Please use the following calculation for tax years ending 2001 to Novemb\
er 2004:
     	 Total in KS	  	                Total Everywhere 	                 	Percent to KS	
1. Average value of real and tangible
 personal property owned or rented
 during the taxable year:        $__________    divided by $__________       =        __________%*
 
2. Compensation paid:        $__________    divided by  $__________       =        __________%*
3. Sales:            $__________    divided by  $__________       =        __________%*
 
4. Average percentage of the three percentages (Add percentages and divide by three):                      ___________%
Tax Computation
5. Net worth (Total shareholders equity):                                $___________
6. Average percent (line 4):                      __________%
7. Multiply line 5 by line 6:                                  $____________
8. Multiply line 7 by .002.  This is the franchise tax:                              $____________
9. Administrative fees:       	                   	       	$ ___________	
10. Total Due (line 8 + line 9)                                  $___________
TX	
Instructions:	   	
Franchise Tax Computation Work Sheet for Reinstatement	
Computation Page 1 of 1	Rev. 12/27/10 jdr	
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