Amended Certificate Of Authority Form Inctructions

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COMPLETING
AN APPLICATION
FOR
AMENDED
CERTIFICATE
OF AUTHORITY
Instructions correspond with numbered entries on the form
NAME OF CORPORATION IN STATE OR COUNTRY OF FORMATION:
Please provide the complete name of
the corporation as it currently appears on the records of the Secretary of the State. Note: name changes should be
reflected in item (6A) on the application.
IF DIFFERENT FROM THE ABOVE, THE NAME UNDER WHICH THE CORPORATION TRANSACTS
BUSINESS IN CONNECTICUT:
Please provide the name under which the corporation transacts business in this
state only if it is different from the name under which it is incorporated.
CHECK EITHER A. OR B.: Indicate, by placing a check on the appropriate line, whether the corporation is
organized for profit or whether the corporation is nonprofit. Note: this information may not be amended. It must
match the designation made on the corporations Application for Certificate of Authority.
STATE/COUNTRY
OF INCORPORATION:
Please provide the corporation’s state or country of incorporation.
This must match the state or country of incorporation found in the corporation’s records of the Office of the
Secretary of the State. Note: any changes to the corporation’s state or country of incorporation must be reflected in
item (6C.) of the application.
DURATION:
Please indicate whether the corporation has perpetual existence or is of a limited duration by placing
a check mark next to the appropriate line. Note: if a check mark is placed next to “OTHER”, the corporation must
precisely specify the limit to its duration. Also, changes to the corporation’s duration should be set forth in item
(6D) on the application.
THE CORPORATION HEREBY APPLIES FOR AN AMENDED CERTIFICATE OF AUTHORITY
FOR THE
FOLLOWING REASONS: Please check and complete any of the appropriate amendment options.
A.
Provide the new name of the corporation in its state or country of incorporation. Note: If the new name is
distinguishable
for the business names on record in the Office of the Secretary of the State, it will
replace any name, includinp a fictitious name, on the corporation’s
certificate of authority.
B.
If the name provided in A. is unavailable for use on the records of the Secretary of the State and the
corporation does not have a certificate of authority under a fictitious name, please provide a name (which
may be a fictitious name) that shall be used in the state of Connecticut by the corporation. This name must
be distinguishable from all other business names on record in the Office of the Secretary of the State. Note:
Whenever a corporation
adopts a fictitious name to transact business in this state, it must supply a
copy of the resolution of its boards of directors, certified by its secretary, adopting the fictitious name.
A corporation
which has a fictitious name under a Certificate of Authority
mav not amend its
certificate of authority
to change that name.
C.
If the corporation’s state or country of incorporation has been changed, please indicate the new state or
country of incorporation in the space provided. Make certain that the new state or country conforms with
information provided on the certificate of legal existence submitted with the Application for Amended
Certificate of Authority.
D.
If the corporation’s duration has been changed, provide the new duration in the space provided.
EXECUTION:
The document must be executed by an authorized official of the corporation. That person must
print or
type their name, state the capacity under which they sign and provide a 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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