Instructions For Completion Of The Application For Registration Form - Connecticut Secretary Of The State

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INSTRUCTIONS
FOR COMPLETION
OF THE APPLICATION
FOR REGISTRATION
Foreign Limited Liability
Company
Instructions correspond with numbered entries on the form
NAME OF LIMITED LIABILITY
COMPANY IN STATE OR COUNTRY OF FORMATION:
Please
provide the name of the limited liability company.
THE NAME UNDER WHICH LIMITED LIABILITY
COMPANY
SHALL TRANSACT
BUSINESS
IN CONNECTICUT:
If the limited liability company shall transact business in Connecticut under a
name other than its name in its state of formation, set forth such name in the space provided. The name
must be distinguishable from all other business names of record in the Office of the Secretary of the
State and contain an appropriate limited liability company designation such as LLC.
STATE/COUNTRY
OF FORMATION:
Please provide the limited liability company’s state or country
of formation.
DATE OF FORMATION:
Please provide the date upon which the limited liability company was formed
in its state or country of incorporation.
The date must include a month, day and year.
DATE LIMITED LIABILITY
COMPANY BEGAN TRANSACTION
BUSINESS IN
CONNECTICUT:
Please provide the exact month, day and year upon which the limited liability
company began transacting business in Connecticut. If the limited liability company has not yet
commenced transacting business in Connecticut, please make a statement to that effect.
OFFICE ADDRESS OF THE LIMITED LIABILITY
COMPANY:
Please provide a complete street
address of the of the office address required to be maintained in the state or county of the limited liability
company’s formation or, if not so required its principal office address including a street number, street
name, city, state, postal code and country if other than the United States. Note that P.O. boxes are only
acceptable as additional information.
CHARACTER
OF BUSINESS TO BE TRANSACTED
IN CONNECTICUT:
Please provide a
description of the business which the limited liability company will transact in Connecticut.
APPOINTMENT
OF NEW STATUTORY
AGENT:
The limited liability company may appoint either
the Secretary of the State by placing a check next to selection A or a natural person who is a resident of
Connecticut, a Connecticut corporation, a foreign corporation which has obtained a certificate of
authority to transact business in Connecticut, a Connecticut limited liability company or a foreign
limited liability company which is registered to transact business in this state by completing selection B.
A limited liability company may not be its own agent. If the agent is a natural person, such person must
provide the complete street address of his or her business and residence. If the agent is a corporation or
limited liability company, it must provide the address of its principal office in the block provided for
“Business address” and the person signing on its behalf must include his or her title on the signature line.
The agent must sign accepting the appointment.
EXECUTION:
The document must be executed by an authorized official of the limited liability
company. That person must print or type their name, state the capacity under which they sign and
provide an original signature. The execution constitutes a legal statement under the penalties of false
statement that the information provided in the document is true.

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