KANSAS SECRETARY OF STATE
Contact Information
CO
Limited Liability Company
Kansas Secretary of State
Certificate of Correction to Foreign Application
Ron Thornburgh
53-06
Memorial Hall, 1st Floor
All information must be completed or this document will not be accepted for filing.
120 S.W. 10th Avenue
Topeka, KS 66612-1594
(785) 296-4564
Print
Reset
Please complete the form, print, sign and
mail to the Kansas Secretary of State with
the filing fee. Selecting 'Print' will print
1. Name of foreign LLC:
the form and 'Reset' will clear the entire
____________________________________________
form.
Name of LLC must match the name on record with the secretary of state
Do not write in this space
2. State of organization:
____________________________________________
3. The statement(s) in the LLC’s application for registration is/are changed to read as follows:
___________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________
___________________________________________________________________________________________
_______________________________________________________________________________________________
__________________________________________________________________________________________
I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct.
Executed on the ________ of ___________ , _____________
.
Day
Month
Year
Member, manager or authorized person
Instruction
Submit this form with the $35 filing fee.
Notice: There is a $25 service fee for all returned checks.
Rev. 12/04/06 jb
Rev. 8/11/03 amc
K.S.A. 17-76,124