Form Cos-1-1.0 - Organization And First Report - Stock Or Non-Stock Corporations

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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:
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
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
FILING PARTY
:
EXCEPTION: $50.00 FILING FEE FOR
NAME:
NONSTOCK (NONPROFIT) CORPORATIONS.
MAKE CHECKS PAYABLE TO "SECRETARY
ADDRESS:
OF THE STATE"
CITY:
STATE/COUNTRY:
ZIP:
1. NAME OF CORPORATION:
2. DATE OF ORGANIZATION MEETING:
3. ADDRESS OF PRINCIPAL OFFICE:
PROVIDE FULL ADDRESS. "SAME AS ABOVE" NOT ACCEPTABLE.
ADDRESS:
CITY:
STATE/COUNTRY:
ZIP:
(IF OTHER THAN PRINCIPAL OFFICE ADDRESS)
4. MAILING ADDRESS:
PROVIDE FULL ADDRESS. "SAME AS ABOVE" NOT ACCEPTABLE.
ADDRESS:
CITY:
STATE/COUNTRY:
ZIP:
5. OFFICERS
(ATTACH 81/2 X 11 SHEETS IF NECESSARY):
A. OFFICER'S NAME:
TITLE:
(P.O.BOX UNACCEPTABLE)
(P.O.BOX UNACCEPTABLE)
RESIDENCE ADDRESS:
BUSINESS ADDRESS:
ADDRESS:
ADDRESS:
CITY:
CITY:
STATE/
STATE/
COUNTRY:
COUTRY:
ZIP:
ZIP:
B. OFFICER'S NAME:
TITLE:
(P.O.BOX UNACCEPTABLE)
(P.O.BOX UNACCEPTABLE)
RESIDENCE ADDRESS:
BUSINESS ADDRESS:
ADDRESS:
ADDRESS:
CITY:
CITY:
STATE/
STATE/
COUNTRY:
COUNTRY:
ZIP:
ZIP:
FORM COS-1-1.0
PAGE 1 OF 2
Rev. 10/27/2010

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