Form Cos-1-1.0 - Organization And First Report Stock Or Non-Stock Corporations
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1
2SECRETARY 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:
ORGANIZATION AND FIRST REPORT
STOCK OR NON-STOCK CORPORATIONS
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING FEE: $150
FILING PARTY
:
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
EXCEPTION: $50.00 FILING FEE FOR
NONSTOCK (NONPROFIT) CORPORATIONS.
NAME:
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
ADDRESS:
CITY:
STATE:
ZIP:
1. NAME OF CORPORATION:
2. DATE OF ORGANIZATION MEETING:
3. ADDRESS OF PRINCIPAL OFFICE:
(P.O.BOX UNACCEPTABLE)
ADDRESS:
CITY:
STATE:
ZIP:
4. MAILING ADDRESS
(IF OTHER THAN PRINCIPAL OFFICE ADDRESS):
ADDRESS:
CITY:
STATE:
ZIP:
5. OFFICERS:
A. OFFICER'S NAME:
TITLE:
RESIDENCE ADDRESS:
BUSINESS ADDRESS:
(P.O.BOX UNACCEPTABLE)
(P.O.BOX UNACCEPTABLE)
ADDRESS:
ADDRESS:
CITY:
CITY:
STATE:
ZIP:
STATE:
ZIP:
FORM COS-1-1.0
PAGE 1 OF 2
Rev. 12/2011
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