o
Filing fee The ling fee for this document is $20.
o
Payment Please enclose a check or money order payable to the Secretary of State. Articles received
without the appropriate fee will not be accepted for ling. Please do not send cash. NOTICE:
There is a $25 service fee for all checks returned by your nancial institution. Also, to
expedite processing, please do not use staples on your documents or to attach checks.
o
Corporation name A word of incorporation must be included in the name per K.S.A. 17-6002. Kansas Statutes
can be reviewed at www.kslegislature.org.
o
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 responsibility to accept
service of process on behalf of the business.
o
Registered ofce The registered ofce is the address where the resident agent is located.
o
Mailing address The mailing address is where you would like to receive ofcial mail from the Secretary of
State’s Ofce.
o
Incorporators An incorporator can be either an individual or a business. This person or entity is responsible
for the formation of the business created by this ling. The incorporator is not necessarily the
owner and his/her role in the business may cease as soon as the ling is made.
o
Directors The directors section (Question 9) must be completed if the incorporator
s power terminates
once the document is led.
o
Signatures If the incorporator is an individual, the signature must match exactly the name listed in the
incorporator’s section (question 8). If the incorporator is a business, the signature of an
individual authorized to sign for the business would be required. Do not enter the business
name in the signature eld.
NOTICE: Not-for-prot Corporations do not automatically qualify for exemption from federal
taxes. In order to qualify for exemption, the Internal Revenue Service (IRS) requires that the
articles of incorporation contain certain provisions. This form does not contain these requisite
provisions. You may refer to section 501(c)3 of the Internal Revenue Code or contact the IRS
at (800) 829-3676 for a copy of the IRS publication 557 or download the publication at
www.irs.com.
ka ns as s ec re tary of state
Not-For-Prot Corporation
Articles of Incorporation
Instructions
Kansas Ofce of the Secretary of State:
Memorial Hall, 1st Floor (785) 296-4564
120 S.W. 10th Avenue kssos@sos.ks.gov
Topeka, KS 66612-1594 www.sos.ks.gov
CN
51-02
Inst. Rev
K.S.A. 17-6002
. 9/21/15 tc
Please proceed to form.
All information on the articles of incorporation
must be complete and accompanied by the
correct filing fee or the document will not be
accepted for filing.
Save time and money by filing your articles
of incorporation online at www.sos.ks.gov.
There, you can also stay up-to-date on your
organization’s status, annual report due date,
and contact addresses.
Instructions: All information must be completed or this document will not be accepted for ling.
1. Name of corporation
2. Name of resident
agent and address of
registered ofce in
Kansas
Must be a Kansas street
address. A P.O. Box is
unacceptable.
Name
Street Address
City State
KS
Zip
3. Mailing address
Address will be used to send
ofcial mail from the Secretary
of State’s Ofce.
Attention Name
Address
City State Zip Country
4. Tax closing month
5. Nature of corporation’s
business of purpose
6. Will this corporation
have the authority to
issue capital stock?
o
Yes
o
No
If yes, the total number of shares authorized:
Shares Stock Class Par Value
/ea.
Shares Stock Class Par Value
/ea.
Shares Stock Class Without Nominal or Par Value
Shares Stock Class Without Nominal or Par Value
If applicable, state any designations, powers, rights, limitations, or restrictions applicable to any class or any special grant of authority to be
given to the board of directors.
7. Are the conditions of
membership xed by
bylaws
o
Yes
o
No
If no, state the conditions of membership:
THIS SPACE FOR OFFICE USE ONLY.
1 / 2 Rev
K.S.A. 17-6002
. 9/21/15 tc
Please continue to next page.
ka ns as s ec re tary of state
Not-For-Prot Corporation
Articles of Incorporation
Kansas Ofce of the Secretary of State:
Memorial Hall, 1st Floor (785) 296-4564
120 S.W. 10th Avenue kssos@sos.ks.gov
Topeka, KS 66612-1594 www.sos.ks.gov
CN
51-02
Print
Reset
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
form.
8. Name and mailing
address of each
incorporator
Do not leave blank. If
additional space is needed,
please provide attachment.
Name 1
Address
City State Zip Country
Name 2
Address
City State Zip Country
9. Name and mailing
address of each
member of board of
directors
This must be completed
if incorporator’s power
terminates once document
is led. If additional space
is needed, please provide
attachment.
Name 1
Address
City State Zip Country
Name 2
Address
City State Zip Country
10. Duration of corporation
o
Perpetual
o
Date corporation will cease:
Month Day Year
11. Effective date
Must be within 90 days of ling.
o
Upon ling
o
Future effective date:
Month Day Year
12. I/We declare under penalty of perjury pursuant to the laws of the state of Kansas that the foregoing is true and
correct, and that I/we have remitted the required fee.
Signatures must correspond exactly to names of incorporators listed in Question 8.
Signature of Incorporator Month Day Year
Signature of Incorporator Month Day Year
2 / 2 Rev
K.S.A. 17-6002
. 9/21/15 tc
Please review to ensure completion.