Secretary Of The State Of Connecticut Application For Certificate Of Authority Foreign Corporation

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SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
860-509-6003
PHONE:
WEBSITE:
APPLICATION FOR CERTIFICATE OF AUTHORITY
FOREIGN CORPORATION
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING FEE: $385.00
FILING PARTY
:
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
EXCEPTION: $40.00 FILING FEE FOR
NONSTOCK (NONPROFIT) CORPORATIONS.
NAME:
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
ADDRESS:
CITY:
STATE:
ZIP:
1. NAME OF CORPORATION IN ITS STATE OR COUNTRY OF FORMATION:
2. THE CORPORATION'S NAME IS NOT AVAILABLE FOR USE IN CONNECTICUT. THE CORPORATION
SHALL, THEREFORE, TRANSACT BUSINESS IN CONNECTICUT UNDER THE FOLLOWING NAME:
(COMPLETE ONLY IF THE NAME OF THE CORPORATION IS NOT AVAILABLE FOR USE IN CONNECTICUT)
3. CHECK EITHER A OR B:
A. THE CORPORATION IS ORGANIZED FOR PROFIT.
B. THE CORPORATION IS NONPROFIT.
4. STATE/COUNTRY OF INCORPORATION:
5. DATE OF INCORPORATION:
6. DURATION:
(CHECK ONE)
PERPETUAL
OTHER
(SPECIFY)
7. DATE CORPORATION BEGAN TRANSACTING BUSINESS/CONDUCTING AFFAIRS IN CONNECTICUT:
(MM,DD,YYYY)
9. MAILING ADDRESS OF THE CORPORATION:
8. PRINCIPAL OFFICE ADDRESS OF THE
CORPORATION:
ADDRESS:
ADDRESS:
CITY:
CITY:
STATE:
ZIP:
STATE:
ZIP:
FORM CFAS-1-1.0
PAGE 1 OF 3
Rev. 8/2012

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