KANSAS SECRETARY OF STATE Application for Registration of Foreign Covered Entity FAInst.K.S.A. 17-7931Rev. 3/28/19 tcAll information on the application for registration must be complete and accompanied by the correct filing fee or the document will not be accepted for filing. Filing fee$115, $165, or $250 depending on the entity type chosen. PaymentPlease submit payment by check, money order, or credit card. Checks and money orders need to be made payable to the Secretary of State. Forms received without the appropriate fee will not be accepted Please do not send cash. NOTICE: Visa, MasterCard, Discover, and American Express are accepted. To use a credit card, please provide the following information:Credit card number Billing zip code Expiration date Daytime phone and contact person$20 in additionname, daytime phone number, credit card number, credit card expiration date and billing zip code.Fax documents and payment information to Business Services, 785-296-4570. Faxed documents will -No duplicate copiesPlease do not send duplicate copies of your document. The original is processed, and returned to you by mail.No emailPublic informationinformation are not public information and are shredded after use. Please Do NotStaple Please proceed to form. American LegalNet, Inc. www.FormsWorkFlow.com Note: limited liability company, limited partnership, or limited liability partnership) may use this form to apply for authority or Question on Form1. Foreign covered entity nameThe foreign covered entity name on all documents must be exactly the same as it appears on the one of the following:225 � 225 � The name requirements for foreign covered entities are governed by K.S.A. 17-7933. You may view statutes at www.ksrevisor.org.3. Date of formation in home stateprovided by the home state.standing/existence* .5. Annual reports and feesthe application, a penalty fee* of $85 applies to the application fee. All application fees, penalty fees and annual report fees may be paid with one check.6. Resident agentThe resident agent is a person or an entity registered with the Kansas Secretary of State that is autho-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.11a. LLCThis statement applies only if the application is for a series limited liability company.11b. LLPThis statement applies only if the application is for a limited liability partnership.12. Signature(s)partner) with authority according to the organic documents of the entity in its home state. There is no need to list titles with signatures.Effective date:223Effective Date: //.224 FAIInst.K.S.A. 17-7931Rev. 3/28/19 tc Please Do NotStaple American LegalNet, Inc. www.FormsWorkFlow.com annual reports.Annual reports with tax year ending DECEMBER 2004 TO PRESENT:Franchise tax calculation: � N/AMinimum amount: � Maximum amount: � Annual reports with tax year ending 2001 TO NOVEMBER 2004:Franchise tax calculation: � $2 for every $1,000 of net worthMinimum amount: � $55Maximum amount: � $5015Annual reports with tax year ending PRIOR AND UP TO 2000:Franchise tax calculation: � $1 for every $1,000 of net worthMinimum amount: � $35Maximum amount: � $2515annual reports.Annual reports with tax year ending 2001 TO PRESENT:Fee amount: � Annual reports with tax year ending 1993 TO 2000:Fee amount: � Annual reports with tax year ending 1972 TO 1992:Fee amount: � PRIOR TO 1972. FAIInst.K.S.A. 17-7931Rev. 3/28/19 tc Please Do NotStaple American LegalNet, Inc. www.FormsWorkFlow.com � Choose type of covered entity: Series limited liability company Limited partnership Limited liability company Limited liability partnership 1. � Name of covered entity:Must exactly match name on 2. � State or foreign country of origin:3. � Date of formation in home state:MonthDayYear4. � agency) that the entity exists in good standing under the laws of the jurisdiction of its organization.* .5. � Date the covered entity began doing business MonthDayYearmay be due.6. � Name of resident agent and address of Must be a Kansas street unacceptable.NameStreet AddressCityStateZip 1 / 2K.S.A. 17-7931Rev. 3/28/19 tc KANSAS SECRETARY OF STATE Application for Registration of Foreign Covered Entity � � 120 S.W. 10th Avenue � kssos@ks.gov � FA Please Do NotStaple Please continue to next page. American LegalNet, Inc. www.FormsWorkFlow.com 7. � Mailing address:Address will be used to send Attention NameAddressCityStateZipCountry8. � Fiscal year end:9. � Full nature and character of business to be conducted in 10. � The foreign covered entity hereby consents, without power of revocation, that actions may be commenced against that such service shall be taken and held in all courts to be valid and binding as if due service had been made upon the authorized persons of the foreign covered entity.11a. This statement applies to foreign series limited liability companies only, and applies only if the series limited liability company is chosen as type of covered entity. � contracted for, or otherwise existing with respect to a particular series of the limited liability company are enforceable against the assets of such series only, and not against the assets of the limited liability company generally or any other series thereof, and none of the debts, liabilities, obligations, and expenses incurred, contracted for, or otherwise existing with respect to the limited liability company generally or any other series thereof shall be enforceable against the assets of such a series.11b. This statement applies to foreign limited liability partnerships only, and applies only if the foreign limited liability partnership is chosen as type of covered entity. � The above-named partnership elects to be a foreign limited liability partnership. � correct.Signature of Authorized Person2 / 2K.S.A. 17-7931Rev. 3/28/19 tc Please review to ensure completion. American LegalNet, Inc. www.FormsWorkFlow.com