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Form Co - Certificate Of Correction To Foreign Limited Liability Company Application

Note: Please type or print legibly with black ink.

Secretary of State / Corporation Division

Form

Certificate of Correction to Foreign

Limited Liability Company Application

1. Name of foreign LLC: ______________________________________________________________

2. State of organization: _______________________________________________________________

3. The statement(s) in the LLC’s application for registration is/are changed to read as follows:

_________________________________________________________________________________________

I declare under penalty of perjury that the foregoing is true and correct.

Executed this _______________ day of _______________________ , __________.

Year

____________________________________

Member, Manager or Authorized Person

INSTRUCTIONS

Submit the original and a duplicate with the $20 filing fee.

MAIL TO:

Ron Thornburgh

Secretary of State

First Floor, Memorial Hall

120 S.W. 10th Ave.

Topeka, KS 66612-1594

(785) 296-4564

For general information and forms request, please call: (785)296-4564

If you have comments or suggestions, you may e-mail us at:

This form may be downloaded from our web site at:

Rev. 1/00 kp

Form Co - Certificate Of Correction To Foreign Limited Liability Company Application