Form Sra - Addendum To Business Organization And Registration Forms Statement Of Compliance With New Hampshire Securities Laws Page 3
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3Instructions – Form SRA
4. If your business was formed in a state other than New Hampshire and you will not offer or sell ownership
interests in New Hampshire, you should check Item 4. Your securities do not need to be registered nor do
you need to seek an exemption from registration.
Part III: Check only ONE item in this part.
1. If your business IS NOT a) a corporation or b) a limited partnership that was formed in New Hampshire,
then you should check this item. For example , if your business is a corporation that was formed in Delaware
or some other state, you should check this item. In addition, if you are an owner of a limited liability
company that was formed in New Hampshire, you should check this item since your business is not a New
Hampshire corporation or limited partnership.
2. If your business IS a) a corporation or b) a limited partnership that was formed in New Hampshire, then
state law requires that your articles of incorporation or certificate of limited partnership state whether capital
stock, memberships, or interests will be sold or offered for sale. If your business is a New Hampshire
corporation or limited partnership and your articles of incorporation or certificate of limited partnership
contain the required statement, you should check this item.
Part IV: This is a statement certifying the accuracy of all the infor mation contained in the Form SRA. Please
note that we cannot accept photocopied signatures for this filing. All signatures must be original. Also, please
make note of all of those who must sign this document:
1) ALL of the incorporators of a corporation to be formed; OR
2) ONE executive officer of an existing corporation; OR
3) ALL of the general partners or intended general partners of a limited partnership; OR
4) ONE or MORE authorized members or managers of a limited liability company; OR
5) ONE or MORE authorized partners of a registered limited liability partnership or foreign
registered limited liability partnership.
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Rev. 4/04
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