Organization And First Report Stock Or Non-Stock Corporations Form 2009 printable pdf download

Organization And First Report Stock Or Non-Stock Corporations Form 2009

ORGANIZATION AND FIRST REPORT

STOCK OR NON-STOCK CORPORATIONS

Office of the Secretary of the State

MAILING ADDRESS:

DELIVERY ADDRESS:

Commercial Recording Division

Connecticut Secretary of the State

P.O. Box 150470

30 Trinity Street

Hartford, CT 06115-0470

Hartford, CT 06106

860-509-6003

FEE: $150.00

Make Checks Payable To “Secretary of the State”

Space For Office Use Only

1. Name of Corporation:

2. Date of Organization Meeting: _______/_______/________

Month

Day

Year

3. Address of Principal Office

4. Mailing address

(street address required

(if other than principal office address):

- P.O. Box is not acceptable):

5. OFFICERS:

(Street address required – P.O. Box is not acceptable)

NAME

TITLE

RESIDENCE ADDRESS

BUSINESS ADDRESS

6. DIRECTORS:

(Street address required – P.O. Box is not acceptable)

NAME

RESIDENCE ADDRESS

BUSINESS ADDRESS

Note: If additional space is needed, please reference an 8 1/2 X 11 attachment

7. EXECUTION:

Dated this _______ day of ___________, 20_______.

Print or type name of signatory

Capacity of signatory

Signature

Revised 12/07/09

Organization And First Report Stock Or Non-Stock Corporations Form 2009