Interim Notice Of Change Of Member/manager - Secretary Of The State

Interim Notice Of Change Of Member/manager - Secretary Of The State - Connecticut

INTERIM NOTICE OF CHANGE OF MEMBER/MANAGER

DOMESTIC AND FOREIGN LIMITED LIABILITY COMPANIES

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

Space For Office Use Only

Filing Fee $10.00

Make checks Payable to “ Secretary of the State”

1. Name of Limited Liability Company

2. New member(s)/manager(s) information:

(street address required - P.O. Box is not acceptable)

Name

Title

Residence Address

Business Address

3. Member(s)/manager(s) who have ceased to be member(s)/manager(s):

Name

Title

Name

Title

Note: If additional space is needed, please reference an 8 ½ x 11 attachment

4. EXECUTION

Dated this _______ day of ___________, 20______.

Print or type name of Signatory

Capacity of Signatory

Signature

Revised 11/2007

Interim Notice Of Change Of Member/manager - Secretary Of The State - Connecticut