"Amendment of Foreign Registration Statement - Limited Liability Company - Foreign" - Connecticut

Amendment of Foreign Registration Statement - Limited Liability Company - Foreign is a legal document that was released by the Connecticut Secretary of the State - a government authority operating within Connecticut.

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  • Released on July 1, 2017;
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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:
AMENDMENT OF FOREIGN
REGISTRATION STATEMENT
LIMITED LIABILITY COMPANY - FOREIGN
C.G.S. § 34-275c
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 8
1/2
X 11 SHEETS IF NECESSARY.
FILING FEE: $120
FILING PARTY
:
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
1. NAME OF THE LIMITED LIABILITY COMPANY IN ITS STATE/COUNTRY OF FORMATION:
(MUST INCLUDE A
BUSINESS DESIGNATION SUCH AS L.L.C., LLC, ETC.)
2. IF DIFFERENT FROM THE ABOVE, THE ALTERNATE NAME UNDER WHICH THE LIMITED LIABILITY
COMPANY TRANSACTS BUSINESS IN CONNECTICUT: (MUST INCLUDE BUSINESS DESIGNATION SUCH AS:
L.L.C., LLC, ETC.)
3. STATE/COUNTRY OF FORMATION:
4. THE LIMITED LIABILITY COMPANY HEREBY APPLIES FOR AN AMENDED CERTIFICATE OF REGISTRATION
STATEMENT FOR THE FOLLOWING REASON(S); CHECK/COMPLETE AS APPLICABLE:
A. THE NAME OF THE LIMITED LIABILITY COMPANY IN ITS STATE OR COUNTRY OF FORMATION HAS
BEEN CHANGED TO (MUST INCLUDE BUSINESS DESIGNATION SUCH AS “LLC”, “L.L.C.”, ETC.):
B. THE NEW NAME OF THE FOREIGN LIMITED LIABILITY COMPANY (SEE LINE 4A ABOVE) IN ITS STATE
OF FORMATION IS NOT AVAILABLE FOR USE ON THE RECORDS OF THE SECRETARY OF THE
STATE, IT WILL REGISTER O TRANSACT BUSINESS IN CONNECTICUT UNDER THE FOLLOWING
ALTERNATE NAME (MUST INCLUDE BUSINESS DESIGNATION SUCH AS "LLC", "L.L.C.", ETC.):
C. THE ALTERNATE NAME (SEE NUMBER 2) UNDER WHICH THE LIMITED LIABILITY COMPANY
CURRENTLY TRANSACTS BUSINESS IN CONNECTICUT HAS BEEN CHANGED TO: (MUST INCLUDE
BUSINESS DESIGNATION SUCH AS LLC., LLC, ETC.) (NOTE: AN ALTERNATE NAME CAN BE USED
ONLY IF THE NAME OF THE LLC IN ITS STATE OF FORMATION IS NOT AVAILABLE ON THE
RECORDS OF THE SEC. OF THE STATE OF CT):
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:
AMENDMENT OF FOREIGN
REGISTRATION STATEMENT
LIMITED LIABILITY COMPANY - FOREIGN
C.G.S. § 34-275c
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 8
1/2
X 11 SHEETS IF NECESSARY.
FILING FEE: $120
FILING PARTY
:
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
1. NAME OF THE LIMITED LIABILITY COMPANY IN ITS STATE/COUNTRY OF FORMATION:
(MUST INCLUDE A
BUSINESS DESIGNATION SUCH AS L.L.C., LLC, ETC.)
2. IF DIFFERENT FROM THE ABOVE, THE ALTERNATE NAME UNDER WHICH THE LIMITED LIABILITY
COMPANY TRANSACTS BUSINESS IN CONNECTICUT: (MUST INCLUDE BUSINESS DESIGNATION SUCH AS:
L.L.C., LLC, ETC.)
3. STATE/COUNTRY OF FORMATION:
4. THE LIMITED LIABILITY COMPANY HEREBY APPLIES FOR AN AMENDED CERTIFICATE OF REGISTRATION
STATEMENT FOR THE FOLLOWING REASON(S); CHECK/COMPLETE AS APPLICABLE:
A. THE NAME OF THE LIMITED LIABILITY COMPANY IN ITS STATE OR COUNTRY OF FORMATION HAS
BEEN CHANGED TO (MUST INCLUDE BUSINESS DESIGNATION SUCH AS “LLC”, “L.L.C.”, ETC.):
B. THE NEW NAME OF THE FOREIGN LIMITED LIABILITY COMPANY (SEE LINE 4A ABOVE) IN ITS STATE
OF FORMATION IS NOT AVAILABLE FOR USE ON THE RECORDS OF THE SECRETARY OF THE
STATE, IT WILL REGISTER O TRANSACT BUSINESS IN CONNECTICUT UNDER THE FOLLOWING
ALTERNATE NAME (MUST INCLUDE BUSINESS DESIGNATION SUCH AS "LLC", "L.L.C.", ETC.):
C. THE ALTERNATE NAME (SEE NUMBER 2) UNDER WHICH THE LIMITED LIABILITY COMPANY
CURRENTLY TRANSACTS BUSINESS IN CONNECTICUT HAS BEEN CHANGED TO: (MUST INCLUDE
BUSINESS DESIGNATION SUCH AS LLC., LLC, ETC.) (NOTE: AN ALTERNATE NAME CAN BE USED
ONLY IF THE NAME OF THE LLC IN ITS STATE OF FORMATION IS NOT AVAILABLE ON THE
RECORDS OF THE SEC. OF THE STATE OF CT):
PAGE 1 OF 2
Rev. 7/2017
D. THE FOREIGN LIMITED LIABILITY COMPANY WILL NO LONGER TRANSACT BUSINESS UNDER THE
ALTERNATE NAME (SEE LINE 2 ABOVE) BECAUSE THE NAME OF THE LLC IN ITS STATE OF
FORMATION (SEE LINE 1 ABOVE) IS AVAILABLE FOR USE ON THE RECORDS OF THE SECRETARY
OF THE STATE OF CONNECTICUT.
E. THE FOREIGN LIMITED LIABILITY COMPANY WILL NO LONGER TRANSACT BUSINESS UNDER THE
ALTERNATE NAME (SEE LINE 2 ABOVE) BECAUSE THE NAME OF THE LLC IN ITS STATE OF
FORMATION (SEE LINE 4A ABOVE) IS AVAILABLE FOR USE ON THE RECORDS OF THE SECRETARY
OF THE STATE OF CONNECTICUT.
F. THE STATE OR COUNTRY OF THE LIMITED LIABILITY COMPANY'S FORMATION HAS BEEN CHANGED
TO:
G. THE FULL TEXT OF ANY OTHER AMENDMENTS:
5. EXECUTION-REQUIRED: (SUBJECT TO PENALTY OF FALSE STATEMENT)
DATE (MM/DD/YYYY)
NAME OF SIGNATORY
CAPACITY/TITLE OF SIGNATORY
SIGNATURE
PAGE 2 OF 2
Rev. 7/2017
INSTRUCTIONS
A foreign limited liability company authorized to transact business in this state must file an Amendment of Foreign
Registration Statement in the event it changes its name, desires to change the alternate name which is set forth in its
prior foreign registration statement (fka "application for a certificate of registration"), or to make other permitted changes
to the Registration Statement. See C.G.S. sec. 34-275c. (Note that wherever the name of the limited liability company is
being set forth in the amendments, the name must contain an acceptable business designation such as "LLC".)
At a minimum, the Amendment of Foreign Registration Statement must set forth the limited liability company's name,
the alternate name (if applicable) under which it transacts business in this state and the amendment to its foreign
registration statement (fka "certificate of registration).
1. Provide the complete name of the limited liability company in its state or country of formation as it currently appears on
the records of the Secretary of the State of Connecticut.
2. Provide the complete alternate name under which the limited liability company transacts business in Connecticut as it
currently appears on the records of the Secretary of the State (if other than the name stated in item Number 1).
3. State/ Country of formation: Please provide the limited liability company’s state or country of formation.
4. The Limited Liability Company hereby applies for an Amended Certificate of Registration for the following reason(s).
Please check and complete any of the applicable amendment options.
• 4A., 4B, 4C: Check box and provide information as applicable.
• 4D & 4E: Check if applicable.
• 4F & 4G: Complete if applicable.
5. Execution: The document must be executed/signed by an authorized official of the limited liability company. The
person must print or type his/her name, state the capacity/title under which he/she signs and provide a signature. 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
DO NOT SCAN THIS PAGE
Rev. 7/2017
INSTRUCTIONS
Page of 3