Form Np 50 - Not-For-Profit Corporation Annual Report
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3Contact Information
KANSAS SECRETARY OF STATE
NP
Kansas Secretary of State
Not-for-Profit Corporation Annual Report
Ron Thornburgh
Memorial Hall, 1st Floor
50
120 S.W. 10th Avenue
All information must be completed and the required fee submitted or this
Topeka, KS 66612-1594
document will not be accepted for filing. Please read all instructions before
(785) 296-4564
completing this document.
1. Business Entity ID Number: _________________________________
(This is not the FEIN)
2. Corporation name: ________________________________________
_________________________________________________________
3. Mailing address (this address will be used to send official mail from the
Secretary of State’s Office):
_________________________________________________________
Do not write in this space
Address
_________________________________________________________
City
State
Zip
4. Principal office address (must be a street, rural route or highway; a P.O. box is unacceptable):
_______________________________________________________________________________________________________
Address
City
State
Zip
6. State of incorporation: _____________________________
5. Tax closing date: ________________________________
Month
Day
Year
7. List the names and addresses of all officers of the corporation (do not leave blank):
__________________________________________________________________________________________
Title
Name
Address
City
State
Zip
___________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
8. List names and addresses of all members of the governing body of the corporation (do not leave blank):
_________________________________________________________________________________________
Name
Address
City
State
Zip
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
If additional officers or members exist, please provide an attachment.
Rev. 1/1/07 nr
K.S.A. 17-7504
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