Form Ar 50 - Corporate Annual Report
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2Our fees increased September 1, 2003. Please review the
instruction box on the form for the new fee.
Contact Information
KANSAS SECRETARY OF STATE
AR
Kansas Secretary of State
Corporate Annual Report
Ron Thornburgh
50
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
Corporation name:
Mailing address:
Street address
City
State
Zip
Corporation ID No.:
Do not write in this space
1. Tax closing date:
Month
Day
Year
2. Due date:
Month
Day
Year
3. State of incorporation:
Director
4. Officers:
Name
Residential address
City
State
Zip
Y/N
Pres.
Sec.
Treas.
5. Board of Directors:
Name (if not listed above)
Residential address
City
State
Zip
KANSAS CORPORATIONS ONLY
6. Stockholders who own 5% or more of capital stock:
Post Office address
City
State
Zip
ALL CORPORATIONS
7. Number of shares issued
Total amount of stock paid up
8. Federal employer identification number:
$
9. Phone number:
$
$
10. Nature and kind of business in which the corporation is engaged:
1/4
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