Kansas Secretary of State
AN
Nonprofit Corporation Certificate of Amendment
All information must be completed or this document will not be accepted for filing.
1. Name of the corporation
________________________________________
Name must match the name on record with the Secretary of State
2. The articles of incorporation are amended as follows:
Do not write in this space
3. The amendment was adopted in accordance with the provisions of K.S.A. 17-6602.
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
____________________________________________
President or Vice President
Attest:
____________________________________________
Secretary or Assistant Secretary
Please submit this form in duplicate with the $20 filing fee.
Contact Information
Kansas Secretary of State
Ron Thornburgh
Memorial Hall, 1st Floor
120 SW 10th Avenue
Topeka, KS 66612-1240
785-296-4564
Rev.7/01 hb
K.S.A. 17-6602