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:
CERTIFICATE OF INCORPORATION
NONSTOCK CORPORATION
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING FEE: $50
FILING PARTY
:
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
NAME:
ADDRESS:
CITY:
STATE:
ZIP:
1. NAME OF CORPORATION:
THE CORPORATION IS NONPROFIT AND SHALL NOT HAVE OR ISSUE SHARES OF STOCK OR MAKE
DISTRIBUTIONS.
2. PLACE A CHECK NEXT TO THE APPROPRIATE STATEMENT:
A. THE CORPORATION SHALL NOT HAVE MEMBERS.
B. THE CORPORATION SHALL ONLY HAVE MEMBERS, WHICH ARE NOT ENTITLED TO VOTE.
C. THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS.
D. THE CORPORATION SHALL HAVE MULTIPLE CLASSES OF MEMBERS WHICH CLASSES ARE
DESIGNATED AS FOLLOWS:
PLEASE NOTE: THE MANNER OF ELECTION AND APPOINTMENT OF MEMBERS ALONG WITH THEIR QUALIFICATIONS AND RIGHTS MAY BE
SET FORTH IN THIS CERTIFICATE OR IN THE CORPORATION'S BYLAWS. PLEASE SEE C.G.S.§ 33-1055 & -1056.
3. APPOINTMENT OF REGISTERED AGENT:
(PLEASE SELECT ONLY ONE A. OR B.)
A. INDIVIDUAL'S AGENT NAME:
BUSINESS ADDRESS:
RESIDENCE ADDRESS:
(P.O.BOX UNACCEPTABLE)
(P.O.BOX UNACCEPTABLE)
ADDRESS:
ADDRESS:
CITY:
CITY:
STATE:
ZIP:
STATE:
ZIP:
B. BUSINESS ENTITY AGENT NAME:
ADDRESS:
(P.O.BOX UNACCEPTABLE)
ADDRESS:
CITY:
STATE:
ZIP:
FORM CIN-1-1.0
PAGE 1 OF 2
Rev. 8/2011