Form Sc 53-10 - Registration Statement For Solicitations printable pdf download

Form Sc 53-10 - Registration Statement For Solicitations

Contact Information

KANSAS SECRETARY OF STATE

Kansas Secretary of State

Registration Statement for Solicitations

Ron Thornburgh

53-10

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. Name of organization:

1a. Name/names under which it will solicit:

Do not write in this space

2. Principal mailing address and street address of the organization:

Address

City

State

Zip

3. Mailing address of any offices such organization has in Kansas:

Address

City

State

Zip

4. Purpose for which organization was organized:

5. Names and mailing addresses of any subsidiary or subordinate chapters, branches or affiliates in Kansas:

Name

Street address

City

State

Zip

Name

Street address

City

State

Zip

6. The jurisdiction and the date of organization:

7. Form of organization: (Trust, Corporation, etc. ):

8. Provide information as to any tax-exempt status granted by the Internal Revenue Service:

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Form Sc 53-10 - Registration Statement For Solicitations