Form Pa 50 - Professional Corporation Annual Report - Kansas Secretary Of State
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1
2Contact Information
KANSAS SECRETARY OF STATE
PA
Kansas Secretary of State
Professional Corporation 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
1. Corporation name:
2. Mailing address:
Address
City
State
Zip
Do not write in this space
3. Business Entity ID No.:
(This is not the FEIN)
4. Tax closing date:
5. Federal Employer Identification Number (FEIN):
6. Officers:
Complete information for all three positions.
Name
Residential address
City
State
Zip
Pres.
Sec.
Treas.
7. Board of directors:
Entity must have at least one person listed.
Name
Residential address
City
State
Zip
8. Shareholders:
Entity must have at least one person listed.
Name
Residential address
City
State
Zip
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