Form Ar 50 - For-Profit Corporation Annual Report, Form Ag - Annual Report Agriculture Attachment For Ar Or Np Forms - 2007
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1
2
3Contact Information
KANSAS SECRETARY OF STATE
AR
Kansas Secretary of State
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: ________________________________________
_________________________________________________________
(Name must match the name on record with the Secretary of State)
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, titles and addresses of all officers of the corporation (do not leave blank):
__________________________________________________________________________________________
Name
Title
Address
City
State
Zip
___________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
8. List the names and addresses of the board of directors of the corporation (do not leave blank):
___________________________________________________________________________________________
Name
Address
City
State
Zip
___________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
If additional officers or directors exist, please provide an attachment.
Rev. 12/1/07 nr
K.S.A. 17-7503, 17-7505
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