The following form must be complete and
kansas secretary of state
FAP
accompanied by the correct filing fee or the
Foreign Corporation
document will not be accepted for filing.
Certificate of Amendment
53-14
Instructions
Save time and money by filing your forms
Kansas Office of the Secretary of State:
online at www.sos.ks.gov. There, you can
Memorial Hall, 1st Floor
(785) 296-4564
also stay up-to-date on your organization’s
120 S.W. 10th Avenue
kssos@sos.ks.gov
status, annual report due date, and contact
Topeka, KS 66612-1594
www.sos.ks.gov
addresses.
Filing fee
The filing fee for this document is $35.
o
Payment
Please enclose a check or money order payable to the Secretary of State. Forms received
o
without the appropriate fee will not be accepted for filing. Please do not send cash. NOTICE:
There is a $25 service fee for all checks returned by your financial institution. Also, to
expedite processing, please do not use staples on your documents or to attach checks.
Signature
This amendment requires the signature of an authorized officer.
o
Inst.
Please proceed to form.
K.S.A. 17-7302
Rev. 8/13/15 tc
The following form must be complete and
kansas secretary of state
FAP
accompanied by the correct filing fee or the
Foreign Corporation
document will not be accepted for filing.
Certificate of Amendment
53-14
Instructions
Save time and money by filing your forms
Kansas Office of the Secretary of State:
online at www.sos.ks.gov. There, you can
Memorial Hall, 1st Floor
(785) 296-4564
also stay up-to-date on your organization’s
120 S.W. 10th Avenue
kssos@sos.ks.gov
status, annual report due date, and contact
Topeka, KS 66612-1594
www.sos.ks.gov
addresses.
Filing fee
The filing fee for this document is $35.
o
Payment
Please enclose a check or money order payable to the Secretary of State. Forms received
o
without the appropriate fee will not be accepted for filing. Please do not send cash. NOTICE:
There is a $25 service fee for all checks returned by your financial institution. Also, to
expedite processing, please do not use staples on your documents or to attach checks.
Signature
This amendment requires the signature of an authorized officer.
o
Inst.
Please proceed to form.
K.S.A. 17-7302
Rev. 8/13/15 tc
Print
Reset
kansas secretary of state
FAP
Foreign Corporation
Certificate of Amendment
53-14
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.
Kansas Office 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
THIS SPACE FOR OFFICE USE ONLY.
This form must be complete and accompanied by the correct filing fee or the document will not be accepted for filing.
1.
Business entity ID
number
Not Federal Employer ID
Number (FEIN).
2.
Name of corporation
Must match name on record
with Secretary of State.
3.
The application on file with the Secretary of State’s office is amended as follows:
4.
The amendment was duly adopted in accordance with the provisions of K.S.A. 17-7302.
Month
Day
Year
5.
Future Effective date
Upon filing
Future effective date:
o
o
Must be within 90 days of
filing date.
6.
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 Officer
Month
Day
Year
X
Name of Signer (printed or typed)
Phone Number
1 / 1
Please review to ensure completion.
K.S.A. 17-7302
Rev. 8/13/15 tc
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