Contact Information
Kansas Secretary of State Ron Thornburgh Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 (785) 296-4564 [email protected]
www.kssos.org
KANSAS SECRETARY OF STATE
Limited Liability Company Certificate of Correction to Foreign Application
All information must be completed or this document will not be accepted for filing.
CO
53-05
Print
Reset
1. Name of foreign LLC:
____________________________________________
Name of LLC must match the name on record with the secretary of state
Please complete the form, print, sign and mail to the Kansas Secretary of State with the filing fee. Selecting 'Print' will print the form and 'Reset' will clear the entire form.
Do not write in this space
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 under the laws of the state of Kansas that the foregoing is true and correct. Executed on the ________ of ___________ , _____________ .
Day Month Year
Member, manager or authorized person
Instruction Submit this form with the $35 filing fee.
Notice: There is a $25 service fee for all returned checks.
Rev.. 03/26/09 jls 8/11/03 K.S.A. 17-76,124