Free MA.pmd - Kansas

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

Business Entity Mailing Address Update
Print

MA
Reset

1. Business Entity ID Number: ____________________________________

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.

2. Business entity name: ____________________________________________________________________ 3. Date: _____________________________________ 4. New mailing address*: _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
*This mailing address will be used for all correspondence from our office.

_________________________________________
Signature

_________________________________________
Name of signer (printed or typed)

_________________________________________
Phone number

_________________________________________
Title of signer

Instructions: ­ No fee is required to submit this document. ­ Mailing information also is updated when the annual report is filed. ­ Please note that this will not change your registered office address currently on file. To make a change to your registered office, please visit our Web site, www.kssos.org, to download the appropriate form.

Rev. 11/21/05 nr