Form Llc-1 - Certificate Of Formation, Form Sra - Addendum To Business Organization And Registration Forms Page 3
Download a blank fillable Form Llc-1 - Certificate Of Formation, Form Sra - Addendum To Business Organization And Registration Forms in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Llc-1 - Certificate Of Formation, Form Sra - Addendum To Business Organization And Registration Forms with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5Print
Form SRA – Addendum to Business Organization and Registration Forms
Reset
Statement of Compliance with New Hampshire Securities Laws
Part I – Business Identification and Contact Information
Business Name:
Business Address (include city, state, zip):
Telephone Number:
E-mail:
Contact Person:
Contact Person Address (if different):
Part II – Check ONE of the following items in Part II. If more than one item is checked, the form will be
rejected. [PLEASE NOTE: Most small businesses registering in New Hampshire qualify for the exemption in Part
II, Item 1 below. However, you must insure that your business meets all of the requirements spelled out in A), B),
and C)]:
1. ____
Ownership interests in this business are exempt from the registration requirements of the state of New
Hampshire because the business meets ALL of the following three requirements:
A) This business has 10 or fewer owners; and
B) Advertising relating to the sale of ownership interests has not been circulated; and
C) Sales of ownership interests – if any – will be completed within 60 days of the formation of this
business.
2. ____
This business will offer securities in New Hampshire under another exemption from registration or will
notice file for federal covered securities. Enter the citation for the exemption or notice filing claimed -
_________________.
3. ____
This business has registered or will register its securities for sale in New Hampshire. Enter the date the
registration statement was or will be filed with the Bureau of Securities Regulation - _____________.
4. ____
This business was formed in a state other than New Hampshire and will not offer or sell securities in
New Hampshire.
Part III – Check ONE of the following items in Part III:
1. ____
This business is not being formed in New Hampshire.
2. ____
This business is being formed in New Hampshire and the registration document states that any sale or
offer for sale of ownership interests in the business will comply with the requirements of the New
Hampshire Uniform Securities Act.
Part IV – Certification of Accuracy
(NOTE: The information in Part IV must be certified by: 1) all of the incorporators of a corporation to be formed; or
2) an executive officer of an existing corporation; or 3) all of the general partners or intended general partners of a
limited partnership; or 4) one or more authorized members or managers of a limited liability company; or 5) one or
more authorized partners of a registered limited liability partnership or foreign registered limited liability
partnership.)
I (We) certify that the information provided in this form is true and complete. (Original signatures only)
Name (print):
Signature:
Date signed:
Name (print):
Signature:
Date signed:
Name (print):
Signature:
Date signed:
Rev. 3/08
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Llc-1 - Certificate Of Formation Of A New Hampshire Limited Liability Company, Form Sra - Addendum To Business Organization And Registration Forms
Business
Form Pllc-1 - Certificate Of Formation New Hampshire Professional Limited Liability Company, Form Sra - Addendum To Business Organization And Registration Forms
Financial
Form Llp-1 - Registration Of New Hampshire Limited Liability Partnership Instructions For Completing Form Llp-1, Form Sra - Addendum To Business Organization And Registration Forms
Legal
Form Lp-1 - Certificate Of New Hampshire Limited Partnership, Form Sra - Addendum To Business Organization And Registration Forms
Legal
Form Fpllc-1 - Application For Registration As A Foreign Professional Limited Liability Company, Form Sra - Addendum To Business Organization And Registration Forms
Business
Form Fllc-1 - Application For Registration As A Foreign Limited Liability Company, Form Sra - Addendum To Business Organization And Registration Forms
Business
Form Flp-l - Application For Registration Of Foreign Limited Partnership - State Of New Hampshire - 2007, Form Sra - Addendum To Business Organization And Registration Forms
Legal
Form Sra - Addendum To Business Organization And Registration Forms Statement Of Compliance With New Hampshire Securities Laws
Legal
Related Categories
Parent category: Business