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Kansas Foreign Corporation Amendment Form

In the case of a foreign 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	
FA P
53-14	
KANSAS SECRETARY OF STATE
Foreign Corporation 
Certificate of Amendment	
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. 17-7302	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. 	  	
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.  	
Upon filing
Future effective date	_____________________________	_ 	   Month              Day                     Year          	
5.  Future effective date:A future effective date must be within 90 days of filing date	
    ____________________________________________________________________\
___________________	_	
Instructions:	  	i	
3.  The application of file with the Secretary of State’s office amended as follows:
4.  The amendment was duly adopted in accordance with the provisions of K.S.A. 17-7302.
Next: Kansas Non Profit Corporation Correction Form Previous: Kansas Non Profit Articles of Incorporation Form
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