* SECTION 1, 3 & 4 ARE REQUIRED
REPORT DUE BY: 4/30/2022 JANUARY RENEWAL MONTH:
00212944 RENEWAL MONTH TO FOR A $25.00 FEE
COSENTINO ENTERPRISES, INC.
NATIONAL REGISTERED AGENTS, INC. PRINCIPAL PLACE OF BUSINESS OR CORPORATE HEADQUARTERS: *
120 SOUTH CENTRAL AVENUE
CLAYTON MO 63105 3901 W 83rd St (Required)
❑ I OPT TO CHANGE THE CORPORATION'S
1
If changing the registered agent and/or registered office address, please check the appropriate box(es) and fill in the necessary information.
❑ The new registered agent
IF CHANGING THE REGISTERED AGENT, AN ORIGINAL WRITTEN CONSENT FROM THE NEW
2 REGISTERED AGENT MUST BE ATTACHED AND FILED WITH THIS REGISTRATION REPORT.
❑ The new registered office address
Must be a Missouri address, PO Box alone is not acceptable. This section is not applicable for Banks, Trusts and Foreign Insurance.
NAME AND MUST PHYSICAL LIST PRESIDENT ADDRESS (P.O. AND BOX SECRETARY ALONE NOT BELOW ACCEPTABLE). A NAME AND PHYSICAL MUST LIST ADDRESS AT LEAST (P.O. ONE BOX DIRECTOR ALONE BELOW NOT ACCEPTABLE).
OFFICERS BOARD OF DIRECTORS
3 CITY/STATE/ZIP Prairie Village KS 66208-5308 CITY/STATE/ZIP Prairie Village KS 66208 USA
PRESIDENT Cosentino, William D NAME Cosentino, Jerome
STREET 3901 W 83rd Street STREET 3901 W 83rd Street
CITY/STATE/ZIP Prairie Village KS 66208 CITY/STATE/ZIP Prairie Village KS 66208 USA
SECRETARY Hahn, Callie Marie Cosentino NAME Cosentino, William D
STREET 3901 W 83rd St STREET 3901 W 83rd Street
VICE PRESIDENT Cosentino, Victor NAME Cosentino, Victor
STREET 3901 W 83rd Street STREET 3901 W 83rd Street
CITY/STATE/ZIP Prairie Village KS 66208 CITY/STATE/ZIP Prairie Village KS 66208 USA
TREASURER Utemark, Kipp NAME Cosentino, James M
STREET 3901 W. 83rd Street STREET 3901 W 83rd Street
CITY/STATE/ZIP Prairie Village KS 66208 CITY/STATE/ZIP Prairie Village KS 66208 USA
NAMES AND ADDRESSES OF ALL OTHER OFFICERS AND DIRECTORS ARE ATTACHED
The undersigned understands that false statements made in this report are punishable for the crime of making a false *
declaration under Section 575.060 RSMo. Photocopy or stamped signature not acceptable.
4 Authorized party or officer sign here Callie Hahn (Required)
REGISTRATION REPORT FEE IS: WHEN THIS FORM IS ACCEPTED BY THE SECRETARY OF STATE, BY LAW
$20.00 If filed on or before 4/30/2022 IT WILL BECOME A PUBLIC DOCUMENT AND ALL INFORMATION
_$35.00 If filed on or before 5/31/2022 PROVIDED IS SUBJECT TO PUBLIC DISCLOSURE
$50.00 If filed on or before 6/30/2022
$65.00 If filed on or before 7/31/2022
ADD AN ADDITIONAL $25.00 FEE IF CHANGING THE RENEWAL MONTH.
E-MAIL ADDRESS (OPTIONAL):
REQUIRED INFORMATION MUST BE COMPLETE OR THE REGISTRATION REPORT WILL BE REJECTED
RETURN COMPLETED REGISTRATION REPORT AND PAYMENT TO: Secretary of State, P.O. Box 778, Jefferson City, MO 65102
John R. Ashcroft Secretary of State 00212944
2022 ANNUAL REGISTRATION REPORT Date Filed: 1/31/2022
BUSINESS John R. Ashcroft
Missouri Secretary of State
STREET
Prairie Village KS 66208-5308
CITY / STATE ZIP
Please print name and title of signer: Callie Hahn Secretary
NAME TITLE
CLAYTON
MO
120 SOUTH CENTRAL AVENUE
63105
AGENTS, INC. NATIONAL REGISTERED
Village Prairie
KS
83rd 3901 W St
66208-5308
COSENTINO ENTERPRISES, INC.
1/31/2022
4/30/2022
John R. Ashcroft
Secretary State Missouri of
Prairie Village Prairie Village Village Prairie Village Prairie Prairie Village Prairie Village Village Prairie Village Prairie
3901 W 83rd Street 3901 83rd W Street 83rd 3901 W St 83rd 3901 W Street 83rd 3901 W Street 83rd 3901 W Street 83rd 3901 W. Street 83rd 3901 W Street
Cosentino, William D Cosentino, Jerome William Cosentino, D Hahn, Callie Cosentino Marie Cosentino, Victor Cosentino, Victor Utemark, Kipp Cosentino, James M
PRESIDENT SECRETARY VICE PRESIDENT TREASURER