Kansas Corporation Certificate of Correction Form
In the case of a corporation wanting to make modifications to documents that have already been submitted to the Secretary of State’s office in the State of Kansas, the following form has to be completed and submitted along with a $35 filing fee.
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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 CC 53-05 KANSAS SECRETARY OF STATE For-Profit Corporation Certificate of Correction INSTRUCTIONS: All information must be completed or this document will not be accepted for filing. Please read instructions before completing. i 1. Business entity ID number:This is not the Federal Employer ID Number (FEIN) 2. Name of the corporation:Name must match the name on record with the Secretary of State K.S.A . 17-6003 Rev. 12/27/10 jdr ________________________________________________________ ____________\ ____________________________________________ Signature of authorized officer Date (month, day, year) ________________________________________________________ Name of signer (printed or typed) 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. 5. Set forth the portion of the document in its corrected form: Instructions: ____________________________________________________________________\ ___________________ _ i 4. Specify the document and the inaccuracy that is to be corrected: Page 1 of 1 3. State/Country of incorporation: ______________________________________ _ 1. Submit this form with the $35 filing fee. 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.
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