Kansas Non Profit Corporation Reinstatement Form
In the case of a dissolved non-profit 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 along with a $20 filing fee.
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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 RN 53-24 Instructions: Not-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 $20 . 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: If more than three years of annual reports are past due, please only file the three most recent annual reports on paper, but all annual report fees must be paid for each year past due. To determine fees owed, please refer to the chart below for the tax years for which you are filing past due annual reports. Annual reports with tax year ending: Fee per year: Prior and up to 1971 No fee 1972 to 1992 $5 1993 to 2000 $20 2001 to present $40 4. MAILING REQUIREMENT: The certificate of reinstatement and all past due annual reports and unpaid annual report fees or taxes must be filed at the same time. Please make sure all documents and fees 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. 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 RN 53-24 KANSAS SECRETARY OF STATE Not-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) 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. 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):
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