Form Np 50 - Not-For-Profit Corporation Annual Report - Kansas Secretary Of State (Page 2 of 3) in pdf

Form Np 50 - Not-For-Profit Corporation Annual Report - Kansas Secretary Of State Page 2

Please answer question 9 if the corporation issues stock. Answer question 10 if the corporation instead has members.

–

(Must answer all lines with a numeric value; “NA” or “

” is unacceptable.)

9. Total number of shares of capital stock issued: ____________________

10. Total number of members: ____________________

11. Federal Employer ID Number (FEIN): _________________________________

12. Does this corporation hold more than 50% equity ownership in any other business entity that is filed with the Kansas Secretary of

State?

YES ____ Complete the lines below.

NO ____ Skip to question 13.

Please provide the name of the business(es) exactly as filed with the Kansas Secretary of State and include the Business Entity ID

Number(s) assigned by the Secretary of State (this is not the Federal Employer ID Number (FEIN)).

Business Entity Name:

Business Entity ID Number:

_______________________________________________________________

______________________________

_______________________________________________________________

______________________________

_______________________________________________________________

______________________________

If additional entities exist, please provide an attachment.

13. Does the corporation own or lease land in Kansas that is suitable for use in agriculture? This question does not apply to: 1) Tracts

of land of fewer than 10 acres; 2) Contiguous tracts of land that are fewer than 10 acres in aggregate; 3) State-assessed railroad

operating property.

YES ____ Complete attachment AG

NO ____

14. 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. (Do not leave blank.)

Signature of authorized officer

Date (month, day, year)

Name of signer (printed or typed)

Title/position

Phone number

K.S.A. 17-7504

Rev. 12/1/07 nr

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Form Np 50 - Not-For-Profit Corporation Annual Report - Kansas Secretary Of State Page 2