KANSAS SECRETARY OF STATE
Contact Information
GM
General Partnership/Limited Liability Partnership
Kansas Secretary of State
Amendment
Ron Thornburgh
53-14
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
Print
Reset
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
1. Name of the partnership:
form.
____________________________________________
Name must match the name on record with the secretary of state
Do not write in this space
2. Identify the statement to be amended:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
3. The statement is amended as follows:
____________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
___________________________________________________________________________________________
__________________________________________________________________________________________
4. The future effective date of the amendment, if not effective upon filing: ________________ ________
________ .
Month
Day
Year
I/We 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
____________________________________________ ____________________________________________
Signature
Signature
Instructions
1. A certified copy of an amendment filed in another state may be filed instead of this form.
2. Submit this form with the $35 filing fee.
Notice: There is a $25 service fee for all returned checks.
Rev. 12/28/04 jls
K.S.A 56a-105
Rev. 8/11/03 jb
K.S.A. 56a-1054
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