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Kavilco Incorporated
1000 Second Ave, Suite 3320
Seattle, WA 98104

E-mail:
Corporate Secretary

Phone or Fax

Shareholder toll free number:
(800) 786-9574

Fax completed forms:
(206) 624-8953

Address Change

Only a shareholder or their custodian can change his/her address. Kavilco cannot accept address changes by relatives or friends of the shareholder. Kavilco will confirm your identity before a change of address will be processed. Kavilco will accept address changes by email or telephone, after confirmation of your identity

To change your address, Kavilco must have your name as it appears on Kavilco’s shareholder records, your Social Security number, and any other identifiers at their discretion.

Change of Address form (pdf)

Name Change

If a shareholder’s name has changed due to marriage, divorce, adoption, etc., he/she must complete an Affidavit of Name Change, which must be signed in the presence of a Notary Public and returned to Kavilco.

The affidavit must include a copy of the marriage certificate, adoption or divorce decree stating that the shareholder’s name has been legally changed.

A new stock certificate will be prepared when Kavilco receives the properly completed Name Change affidavit and documents.

Name Change form

Majority Status

Complete this form when a shareholder reaches the age of 18. When Kavilco receives the properly completed affidavit and documents, a new stock certificate will be prepared.

Majority Status form

Custodian - Appointment of

If the recipient of a gift of Kavilco stock is less than 18 years of age, his or her parent or legal guardian may be appointed as a custodian of the shares. The shareholder who is gifting the stock may also elect to act as custodian. This form must be completed by the custodian to accept the appointment.

Custodian Appointment form

Lost Certificate

Affidavit of Loss of Kavilco Stock and Letter of Indemnity

Lost Certificate form

Custodian - Resignation of

Kavilco cannot arbitrarily change a minor’s custodian of record. Kavilco must have either a divorce decree awarding custody or a resignation from the custodian.

If a custodian voluntarily resigns, he/she must sign a Resignation of Custodian form in the presence of a Notary Public and return the form to Kavilco. If a new custodian is appointed, the new custodian must sign the Appointment of Custodian affidavit. Once the proper documents to change a custodian have been received, a new stock certificate will be prepared and the duplicate sent to the new custodian.

If shares are being transferred by court order (dissolution of marriage, divorce decree) and the court order does not identify the custodian of the stock, the transferer of the stock will be named as the custodian until the minor reaches the age of 18.

Custodian - Resignation form

Divorce

If shares are being transferred by court order (dissolution of marriage, divorce decree) the shareholder must properly complete an Affidavit for Transfer of Kavilco Stock Relative to Divorce. The affidavit must also include a certified copy of the divorce decree, old stock certificate(s), Custodian Agreement Minor (if applicable), and Native status affidavit(s). If the court order does not identify the custodian of the stock, the transferor of the stock will be named as the custodian until the minor reaches the age of 18.

Divorce Form

Gifting Your Shares

You can continue the Native tradition of giving by gifting your Kavilco stock to family members. ANCSA permits shareholders to gift any number of shares to a child, grandchild, niece, nephew, brother or sister. You may request a Gifting Packet from our Corporate Office, or download the forms here.

Gifting Shares
Gifting Shares - Q and A

Estate Settlement

In order to transfer the shares of a deceased shareholder to another, Kavilco must have the following:

  1. Certified copy of the death certificate.
  2. Affidavit for Transfer of Kavilco Stock According to Will; OR
  3. Affidavit for Transfer of Stock with Executed Stock Clause (back of stock certificate); OR
  4. Properly completed Testamentary Disposition form.
  5. If there is no will or completed testamentary disposition form, then Kavilco requires a properly completed Affidavit for Transfer of Stock (Intestate Succession). For Alaska residents, the shares will be transferred according to the Alaska Statutes on Intestate Succession. However, if the decedent resided outside of Alaska, you will need to consult an attorney to determine Intestate Succession laws for that state or country.

Once Kavilco receives all the necessary documentation, stock certificates will be prepared, and any funds accrued to the decedent’s previous stock certificate will be divided among the heirs accordingly.

Estate - Court Order form
Estate - Intestate Succession form
Estate - Testimentary form
Estate - Will form

Direct Deposit

We encourage our shareholders to sign up for Direct Deposit to receive dividends faster and safer. There is no cost to sign up for Direct Deposit.

Direct Deposit Enrollment Form
Direct Deposit - Cancellation form

Voluntary IRS Tax Withholding

A shareholder can request that Kavilco withhold a percentage of your dividends to pay the IRS. Complete this form, specifying what percentage of your dividends you wish to withhold and mail the form to Kavilco. You may revoke this form in writing at any time.

IRS Voluntary Witholding Release form
IRS Voluntary Withholding form
W-9 (2017)

Native Status

A person who receives a gift of shares must be either an Alaska Native or a descendant of a Native, including adopted descendants. However, a recipient need not have a particular blood quantum to be eligible to receive shares.

Native Status form

Please send an e-mail request or call our toll free shareholder number (800) 786-9574 for more information regarding shareholder records. We welcome your comments and feedback.