SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
860-509-6003
PHONE:
WEBSITE:
APPLICATION FOR REGISTRATION
LIMITED LIABILITY COMPANY - FOREIGN
C.G.S. §34-223 (see also §§34-101; 34-109; 34-227)
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING FEE: $120
FILING PARTY
:
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
NAME:
OF STATE"
ADDRESS:
CITY:
STATE:
ZIP:
1. NAME OF LIMITED LIABILITY COMPANY IN STATE OR COUNTRY OF FORMATION - REQUIRED:
2. NAME UNDER WHICH THE LIMITED LIABILITY COMPANY WILL TRANSACT BUSINESS IN CONNECTICUT,
IF DIFFERENT FROM NAME STATED ABOVE:
(MUST INCLUDE BUSINESS DESIGNATION SUCH AS: L.L.C., LLC, ETC.)
3. STATE/COUNTRY OF FORMATION - REQUIRED:
4. DATE OF FORMATION - REQUIRED:
5. DATE LIMITED LIABILITY COMPANY BEGAN TRANSACTING BUSINESS IN CONNECTICUT - REQUIRED:
6. ADDRESS REQUIRED TO BE MAINTAINED IN STATE/COUNTRY OF FORMATION OR, IF NOT REQUIRED,
THE PRINCIPAL OFFICE ADDRESS OF THE LIMITED LIABILITY COMPANY-REQUIRED:
ADDRESS:
CITY:
STATE:
ZIP:
7. DESCRIPTION OF BUSINESS TO BE TRANSACTED IN CONNECTICUT - REQUIRED:
FORM LCF 1-1.0
PAGE 1 OF 2
Rev. 2/2011