Application For Amended Certificate Of Authority - Foreign Corporation - Connecticut Secretary Of State

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APPLICATION
FOR AMENDED CERTIFICATE
OF
AUTHORITY
FOREIGN CORPORATION
Office of the Secretary of the State
30 Trinity Street / P.O. Box 150470 / Hartford, CT 06115-0470 / Rev. 12/1999
Please see reverse for instructions
Space For Office Use Only
.
NAME OF CORPORATION
IN ITS STATE OR COUNTRY OF FORMATION:
f. IF DIFFERENT FROM THE ABOVE,
THE NAME UNDER WHICH CORPORATION
TRANSACTS
BUSINESS IN
CONNECTICUT:
3. CHECK EITHER A. OR B.
A. The corporation
is organized for profit.
B. The corporation
is nonprofit.
‘.
STATE/COUNTRY
OF INCORPORATION:
;. DURATION:
(CHECK ONE)
-
PERPETUAL
OTHER
(SPECIFY)
6. THE CORPORATION
HEREBY APPLIES FOR AN AMENDED
CERTIFICATE
OF
AUTHORITY
FOR THE FOLLOWING
REASON(S):
A. The name of the corporation
in its state or country of incorporation
has been changed to:
B. The name stated in item A above is unavailable for use in Connecticut.
The name under
which the corporation
shall transact business is:
C. The state or country of the corporation’s
incorporation
has been changed to:
D. The corporation’s
duration has been changed to:
Dated this
7. EXECUTION
day of
,
20
.
Print or type name of signatory
Capacity of signatory
Signature

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