Certificate Of Formation New Religious Corporation Or Religious Society - Connecticut Secretary Of The State

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CERTIFICATE OF FORMATION
NEW RELIGIOUS CORPORATION OR RELIGIOUS SOCIETY
Office of the Secretary of the State
MAILING ADDRESS:
DELIVERY ADDRESS:
Commercial Recording Division
Commercial Recording Division
Connecticut Secretary of the State
Connecticut Secretary of the State
P.O. Box 150470
30 Trinity Street
Hartford, CT 06115-0470
Hartford, CT 06106
860-509-6003
860-509-6003
FEE: $50.00
Make Checks Payable To “Secretary of the State”
We, the undersigned, certify that we, desiring to unite for public worship, hereby associate ourselves as a
body politic under Section 33-264a concerning religious societies and religious corporations.
The form of organization is (check either (a) or (b)):
(a) a religious corporation
(b) a voluntary association/religious society
The name of the (religious corporation) (voluntary association/religious society) is:
___________________________________________________________________
Dated at: _______________________________
This ______________________ day of ___________________.
We, hereby declare, under the penalties of false statement, that the statements made in the
foregoing certificate are true.
To be signed by at least three persons:
1.
Residence Address: _____________________
Name: _______________________________
______________________________________
Type or block print
______________________________________
(P.O. box is not acceptable)
Signature: _____________________________
2.
Residence Address: _____________________
Name: _______________________________
______________________________________
Type or block print
______________________________________
(P.O. box is not acceptable)
Signature: _____________________________
3.
Residence Address: _____________________
Name: _______________________________
______________________________________
Type or block print
______________________________________
(P.O. box is not acceptable)
Signature: _____________________________
REV. 12/07/09

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