Please Do NotStaple kansas secretary of state Annual Report NP Not-for-Profit Corporation SUBMIT THE DOCUMENTS WITHOUT THIS PAGE INSTRUCTIONS FOR FILING AN ANNUAL REPORT Note: All documents filed by the Secretary of State’s office is considered public record and may be viewable online. File this document directly online at https://www.kansas.gov/annual-reports/index.do. How to complete the annual report for a not-for-profit corporation: 6b. Provide both the Business Entity name and the Kansas Secretary of State ID number for each entity that the corporation owns a Each of the numbered instructions below corresponds to a section on majority ownership in. Both fields must be completed. the form. 7. Provide an indication if the entity owns land suitable for agricultural 1. List the entity’s ID number issued by the Kansas Secretary of use. Complete the form AG if answered yes or disregard the form State (this is not a tax ID number). ID numbers may be found by AG if answered no. clicking on Business Entity Database at https://www.kansas.gov/ bess/. 8. An authorized person on behalf of the entity must sign. 2. Provide the complete legal entity name, including words of formation (e.g., LLC, Inc., etc.) AG - Annual Report Agricultural Attachment Instructions 1. Each tract or lot must be detailed in this section. This includes 3. Provide the principal office of the entity. a numerical response for the location, indicate if the land was acquired after July 1st, 1981, a brief description of how the land is Principal office: Must be a physical address that must include the used, and an indication if the land is owned or leased. building number, street, city, state, and zip code. This can’t be a PO box. 2. Respond to each of the categories if applicable. At least one of the categories must have a numerical response. 4. Provide the tax closing date for the annual report. Annual reports are filed after a tax year end has passed and represent the 3. A numerical response must be provided, even if zero. information that is true for that year end only (example: when an entity’s tax year ends on the last day of December, the annual 4. Respond to each of the categories if applicable. At least one report due date period would be between January 1st and June category with the value and location must have a response. 15th after each December. The report should reflect December for the month). 5a. Each name of the officer of the corporation must be listed along with a title for the officer and the address where they may be regularly located. 5b. Provide each name of the members of the governing body of the corporation along with the address where they may be regularly located. The directors may be omitted if the officers are the same individuals. 6a. Provide an indication of if the entity holds a majority ownership in any other business that is currently filed with the Kansas Secretary of State’s Office. Continue with section 6b if answered yes or continue with section 7 if answered no. K.S.A. 17-7504 Please continue to next page. Inst. Rev. 6/16/23 tc |
Please Do NotStaple kansas secretary of state Annual Report NP Not-for-Profit Corporation SUBMIT THE DOCUMENTS WITHOUT THIS PAGE INSTRUCTIONS FOR FILING AN ANNUAL REPORT Note: All documents filed by the Secretary of State’s office is considered public record and may be viewable online. File this document directly online at https://www.kansas.gov/annual-reports/index.do. Fee Schedule Mail to: Annual Report Kansas Secretary of State Memorial Hall, 1st Floor The filing fee for the annual report is as follows: 120 SW 10th Avenue Topeka KS 66612 Online Annual Report: ................................... $40 Paper Annual Report: .................................... $40 Only checks are accepted for payment. Make checks payable to the Kansas Secretary of State. Filing Online Or The annual report may be filed directly online at https://www.kansas. gov/annual-reports/index.do. Fax to: This form can’t be faxed unless it is being filed as part of another filing (i.e., reinstatement, corrected document, foreign application, etc.) See the fax instructions with the other document for details. K.S.A. 17-7504 Please proceed to form. Inst. Rev. 6/16/23 tc |
Please Do NotStaple kansas secretary of state Print Reset NP Annual Report 50 Not-for-Profit Corporation 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. Memorial Hall, 1st Floor (785) 296-4564 120 S.W. 10th Avenue kssos@ks.gov Topeka, KS 66612-1594 sos.ks.gov THIS SPACE FOR OFFICE USE ONLY. 1. Business entity ID/file Kansas Secretary of State issued number: file number. 2. Name of corporation: Must match name on record with Kansas Secretary of State. Street Address (A PO Box is unacceptable) 3. Principal office address: Must be a street, rural route, City State Zip Country or highway. A PO box is unacceptable. Month Year 4. Tax closing date: Name Title 5a. Name, title, and address of each officer of corporation: Address Title and address required for each City State Zip Country officer named. Name Title Address City State Zip Country Do not leave blank. Name Title Address If additional space is needed, City State Zip Country please provide attachment. K.S.A. 17-7504 Please continue to next page. 1 / 2 Rev. 6/16/23 tc |
Name Address 5b. Name and address of each member of governing body of City State Zip Country corporation: Name Address Leave this question blank if the governing body members and City State Zip Country officers are the same. Name Address If additional space is needed, City State Zip Country please provide attachment. 6a. Does this corporation hold more than 50% equity ownership in any other business entity that is filed with the Kansas Secretary of State? o Yes (Complete Question 6b.) o No (Skip to Question 7.) Business Entity Name Business Entity ID Number (Not FEIN) 6b. Name and ID number of each business: Name and ID # should be Business Entity Name Business Entity ID Number (Not FEIN) provided exactly as filed with Kansas Secretary of State. Business Entity Name Business Entity ID Number (Not FEIN) 7. Does this corporation own or lease land in Kansas that is suitable for use in agriculture? This question does not apply to 1) tracts of land of fewer than 10 acres, 2) contiguous tracts of land that are fewer than 10 acres in aggregate, or 3) state-assessed railroad operating property. o Yes (Complete Attachment AG.) o No (Skip to Question 8.) 8. I declare under penalty of perjury pursuant to the laws of the state of Kansas that the foregoing is true and correct. Signature of Authorized Person (Required) Title/Position (Required) X Name of Signer (printed or typed) Phone Number (Not required) K.S.A. 17-7504 Please review to ensure completion. 2 / 2 Rev. 6/16/23 tc |
kansas secretary of state Complete this form only if the business entity Annual Report Agricultural Attachment owns or leases land suitable for agricultural AG for Forms AR or NP use. All information must be complete or this document will not be accepted for filing. Note: This form must be completed if Question 7 on annual report form is answered “yes.” 1. Provide information on each lot, tract or parcel of agricultural land in Kansas owned or leased by corporation. Location of tract or lot Was this tract Purpose for which land is owned or leased. Indicate for each tract or parcel if the tract is … acquired after July 1, 1981? County Section Township Range Number of acres in tract or lot Yes No Owned by corporation Leased to corporation Leased from corporation If leased from corporation, indicate to whom leased. A. Total acres owned or operated B. Total acres owned or operated, and irrigated 2. Total agricultural acres Must be numeric values. C. Total acres leased theto corporation D. Total acres leased theto corporation and irrigated “NA” or “—” is unacceptable. E. Total acres leased from the corporation F. Total acres leased from the corporation and irrigated 3. Total number of stockholders Within Kansas - Agricultural 4. Value and location of agricultural and Value Location nonagricultural assets owned and controlled Within Kansas - Nonagricultural by corporation Include all assets within and Value Location outside of Kansas. Outside of Kansas - Agricultural All lines must be complete. Value Location Outside of Kansas - Nonagricultural Value Location K.S.A. 17-7504 Please review to ensure completion. Att. Rev. 6/16/23 tc |