KANSAS SECRETARY OF STATE
Contact Information
RLL
Limited Liability Company
Kansas Secretary of State
Change of Registered Office or Agent
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
1. Name of limited liability company:
mail to the Kansas Secretary of State with
_________________________________________________________
the filing fee. Selecting 'Print' will print
Name must match the name on record with the secretary of state
the form and 'Reset' will clear the entire
form.
2. State of organization: _____________________________________
The limited liability company has adopted the following amendment
Do not write in this space
changing its registered office and/or resident agent.
3. Address of registered office in Kansas:
Address must be a street address. A post office box is unacceptable.
Kansas
___________________________________________
____________________________
_______________
___________
Street address
City
State
Zip
4. Name of resident agent at the above address:
____________________________________________________________________________________________________________
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
________________________________________________________
Authorized person’s signature
Instructions
1. The resident agent must be either: (a) an individual, (b) a Kansas corporation, limited partnership, limited
liability company or business trust, or (c) a foreign corporation, limited partnership or limited liability
company authorized to do business in Kansas.
2. Submit this form with the $35 filing fee.
Notice: There is a $25 service fee for all returned checks.
Rev. 12/06/04 jb
K.S.A. 17-7674
Rev. 8/11/03 jb