Form Bt-50 - Business Trust Annual Report - 2005
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1
2Contact Information
KANSAS SECRETARY OF STATE
BT
Business Trust Annual Report
Kansas Secretary of State
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
1. Business trust name:
2. Mailing address:
Street address
City
State
Zip
Do not write in this space
3. Location of principal office:
A post office box is unacceptable.
Street address
City
State
Zip
4. Business Entity ID No:
(This is not the FEIN)
5. Tax closing date:
Month
Day
Year
6. State of organization:
7. Trustees as of the end of tax period:
Name
Address
City
State
Zip
8. Federal Employer Identification Number (FEIN):
9. I declare under penalty of perjury pursuant to the laws of the state of Kansas that the foregoing is true and correct and that I have
remitted the required fee.
Executed on the ________ of
______________
, _____________ .
Day
Month
Year
Signature of trustee
Name of trustee (typed or printed)
1/2
Phone number
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