"Interim Notice of Change of Manager/Member - Limited Liability Company-Domestic & Foreign" - Connecticut

Interim Notice of Change of Manager/Member - Limited Liability Company-Domestic & Foreign is a legal document that was released by the Connecticut Secretary of the State - a government authority operating within Connecticut.

Form Details:

  • Released on July 1, 2017;
  • The latest edition currently provided by the Connecticut Secretary of the State;
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Download "Interim Notice of Change of Manager/Member - Limited Liability Company-Domestic & Foreign" - Connecticut

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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
www.concord-sots.ct.gov
PHONE:
WEBSITE:
INTERIM NOTICE OF CHANGE OF
MANAGER/MEMBER
LIMITED LIABILITY COMPANY-DOMESTIC & FOREIGN
C.G.S. §34-247k(f)
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 8
1/2
X 11 SHEETS IF NECESSARY.
FILING FEE: $20
FILING PARTY
:
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
1. COMPLETE NAME OF LIMITED LIABILITY COMPANY:(REQUIRED):(MUST MATCH OUR RECORDS EXACTLY
AND INCLUDE BUSINESS DESIGNATION I.E. LLC, L.L.C., ETC.)
2. *NEW MANAGER/MEMBER INFORMATION: (NEW INFORMATION MUST INCLUDE NAME, TITLE,
RESIDENCE AND BUSINESS ADDRESS)
(NOTE: ADDING A NEW MANAGER/MEMBER DOES NOT REPLACE AN EXISTING MANAGER/MEMBER. PROCEED TO SECTION 3 TO
REMOVE EXISTING MANAGER/MEMBER, IF APPLICABLE).
NAME:
TITLE:
RESIDENCE ADDRESS:
BUSINESS ADDRESS:
(P.O.BOX UNACCEPTABLE)
(P.O.BOX UNACCEPTABLE)
STREET:
STREET:
CITY:
CITY:
STATE:
ZIP:
STATE:
ZIP:
NAME:
TITLE:
RESIDENCE ADDRESS:
BUSINESS ADDRESS:
(P.O.BOX UNACCEPTABLE)
(P.O.BOX UNACCEPTABLE)
STREET:
STREET:
CITY:
CITY:
STATE:
STATE:
ZIP:
ZIP:
NAME:
TITLE:
RESIDENCE ADDRESS:
BUSINESS ADDRESS:
(P.O.BOX UNACCEPTABLE)
(P.O.BOX UNACCEPTABLE)
STREET:
STREET:
CITY:
CITY:
STATE:
ZIP:
STATE:
ZIP:
PAGE 1 OF 2
Rev. 7/2017
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
www.concord-sots.ct.gov
PHONE:
WEBSITE:
INTERIM NOTICE OF CHANGE OF
MANAGER/MEMBER
LIMITED LIABILITY COMPANY-DOMESTIC & FOREIGN
C.G.S. §34-247k(f)
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 8
1/2
X 11 SHEETS IF NECESSARY.
FILING FEE: $20
FILING PARTY
:
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
1. COMPLETE NAME OF LIMITED LIABILITY COMPANY:(REQUIRED):(MUST MATCH OUR RECORDS EXACTLY
AND INCLUDE BUSINESS DESIGNATION I.E. LLC, L.L.C., ETC.)
2. *NEW MANAGER/MEMBER INFORMATION: (NEW INFORMATION MUST INCLUDE NAME, TITLE,
RESIDENCE AND BUSINESS ADDRESS)
(NOTE: ADDING A NEW MANAGER/MEMBER DOES NOT REPLACE AN EXISTING MANAGER/MEMBER. PROCEED TO SECTION 3 TO
REMOVE EXISTING MANAGER/MEMBER, IF APPLICABLE).
NAME:
TITLE:
RESIDENCE ADDRESS:
BUSINESS ADDRESS:
(P.O.BOX UNACCEPTABLE)
(P.O.BOX UNACCEPTABLE)
STREET:
STREET:
CITY:
CITY:
STATE:
ZIP:
STATE:
ZIP:
NAME:
TITLE:
RESIDENCE ADDRESS:
BUSINESS ADDRESS:
(P.O.BOX UNACCEPTABLE)
(P.O.BOX UNACCEPTABLE)
STREET:
STREET:
CITY:
CITY:
STATE:
STATE:
ZIP:
ZIP:
NAME:
TITLE:
RESIDENCE ADDRESS:
BUSINESS ADDRESS:
(P.O.BOX UNACCEPTABLE)
(P.O.BOX UNACCEPTABLE)
STREET:
STREET:
CITY:
CITY:
STATE:
ZIP:
STATE:
ZIP:
PAGE 1 OF 2
Rev. 7/2017
3. MANAGER(S)/MEMBER(S) WHO HAVE CEASED TO BE MANAGER(S)/MEMBER(S):
NOTE: NAME AND TITLE MUST MATCH OUR RECORDS EXACTLY OTHERWISE CHANGES WILL NOT BE REFLECTED. BE CAREFUL TO
INCLUDE ITEMS SUCH AS JR., SR., MIDDLE INITIALS, ETC. CHECK CONCORD ONLINE FOR NAME OF RECORD. INDIVIDUAL/ENTITY WILL
ONLY BE REMOVED FROM THOSE TITLES INDICATED, THEREFORE, BE SURE TO INCLUDE ALL APPLICABLE TITLES.
NAME:
TITLE:
NAME:
TITLE:
NAME:
TITLE:
NAME:
TITLE:
NAME:
TITLE:
4. EXECUTION - REQUIRED:
(SUBJECT TO PENALTY OF FALSE STATEMENT)
DATE (MM/DD/YYYY)
NAME OF SIGNATORY
CAPACITY/TITLE OF SIGNATORY
SIGNATURE
*NOTE: LLC’S MAY HAVE MANY MANAGERS/MEMBERS, HOWEVER ONLY UP TO THREE OF THOSE PROVIDED WILL BE SHOWN ON THE
DATABASE. ADDITIONAL NAMES WILL BE AVAILABLE BY REQUESTING COPIES OF THE ORIGINAL FILING.
Rev. 7/2017
PAGE 2 OF 2
INTERIM NOTICE OF CHANGE OF MANAGER/MEMBER
LIMITED LIABILITY COMPANY-DOMESTIC & FOREIGN
C.G.S. §§34-247k(f)
INSTRUCTIONS
1. NAME OF LIMITED LIABILITY COMPANY: Please provide the complete name of the Limited Liability Company as
it currently appears on the records of the Secretary of the State. If the notice is being filed by a foreign Limited Liability
Company, such Limited Liability Company should provide the name under which it is currently authorized to transact
business in Connecticut.
2. NEW MANAGER(S)/MEMBER(S) INFORMATION: Please print or type the full name of the Limited Liability
Company's NEW manager(s) or member(s), their titles and their residence and business addresses. Complete street
addresses, including a street number, street name, city, state, postal code and country if other than the United States,
are required. NOTE: P.O. boxes are only acceptable as additional information.
3. MANAGER(S)/MEMBER(S) WHO HAVE CEASED TO BE MANAGER(S)/MEMBER(S): Please print or type the full
name of Manager(s)/Member(s) who have ceased holding their position within the Limited Liability Company and their
title(s) as they appear on our records. NOTE: Name and title(s) must match our records exactly otherwise changes will
not be reflected. Be careful to include items such as Jr., Sr., middle initials, etc. Check Concord online for name of
record. Individual/Entity will only be removed from those titles indicated, therefore, be sure to include all applicable
titles.
4. EXECUTION: The document must be executed (signed) by an authorized official of the Limited Liability Company.
That person must print or type his or her name and state the capacity under which he or she signs. The execution
constitutes a legal statement under the penalties of false statement that the information provided in the document is
true.
OFFICE OF THE SECRETARY OF THE STATE
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
PHONE: 860-509-6003
WEBSITE:
www.concord-sots.ct.gov
Rev. 7/2017
DO NOT SCAN THIS PAGE
INSTRUCTIONS
Page of 3