Kansas Secretary of State
NP
Not for Profit Corporate Annual Report
1. Tax Closing Date
Month/Day/Year
2. Due Date
3. State of Incorporation
Corporation ID No.
Corporation Name
Mailing Address
Do not write in this space.
Officers
Director
4. Name
Residential Address
City, State, Zip Code
Y/N
Pres.
Sec.
Treas.
Board of Directors
5.Name (if not listed above)
Residential Address
City, State, Zip Code
Please answer either 6. or 7.
6. Shares Issued (Common or Preferred) Stock Paid Up
$
$
$
$
7. Number of Members
8. F.E.I.N.
(Federal Employer Identification Number)
9. Telephone No.