Form Cl 53-13 - Kansas Limited Liability Company Certificate Of Amendment
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1Fees will increase September 1, 2003. If you file this report
before September 1, the fee is $20.00. If you file this report after
September 1, the fee is $35.00.
KANSAS SECRETARY OF STATE
Contact Information
CL
Kansas Limited Liability Company
Kansas Secretary of State
Certificate of Amendment
Ron Thornburgh
53-13
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 the limited liability company:
the form and 'Reset' will clear the entire
_______________________________________________________
form.
Name must match the name on record with the secretary of state
Do not write in this space
2. The limited liability company amends its articles of organization
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
Authorized person
Instruction
Submit this form in duplicate with the $35 filing fee.
Notice: There is a $25 service fee for all returned checks.
Rev. 8/11/03 amc
K.S.A. 17-7674
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