CERTIFICATE OF INCORPORATION
STOCK CORPORATION
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
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
ADDRESS:
CITY:
STATE:
ZIP:
REQUESTING PARTY
NAME:
CUSTOMER ID:
FILING FEE: $250
INCLUDES FRANCHISE TAX UP TO 20,000
SHARES
MAKE CHECKS PAYABLE TO "SECRETARY
OF STATE"
1. NAME OF CORPORATION:
2. TOTAL NUMBER OF AUTHORIZED SHARES:
IF THE CORPORATION HAS MORE THAN ONE CLASS OF SHARES, IT MUST DESIGNATE EACH CLASS AND THE NUMBER OF SHARES
AUTHORIZED WITHIN EACH CLASS BELOW.
CLASS:
NUMBER OF SHARES PER CLASS:
3. TERMS, LIMITATIONS, RELATIVE RIGHTS AND PREFERENCES OF EACH CLASS OF SHARES AND SERIES
THEREOF PURSUANT TO CONN. GEN. STAT. SECTION 33-665:
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FORM CIS-1-1.0
PAGE 2 OF 2
FORM CIS-1-1.0
4. APPOINTMENT OF REGISTERED AGENT:(PLEASE SELECT ONLY ONE A. OR B AND PRINT OR TYPE NAME OF AGENT.)
5. OTHER PROVISIONS:
A. INDIVIDUAL'S AGENT NAME:
ADDRESS:
CITY:
STATE:
ZIP:
BUSINESS ADDRESS: (P.O.BOX UNACCEPTABLE)
ADDRESS:
CITY:
STATE:
ZIP:
RESIDENCE ADDRESS: (P.O.BOX UNACCEPTABLE)
B. BUSINESS ENTITY AGENT NAME:
STATE:
ZIP:
CITY:
ADDRESS:
ADDRESS: (P.O.BOX UNACCEPTABLE)
SIGNATURE OF AGENT
ACCEPTANCE OF APPOINTMENT
PRINT OR TYPE NAME OF
INCORPORATOR(S)
SIGNATURE(S)
COMPLETE ADDRESS(ES)
6. EXECUTION:
,20
DAY OF
DATED THIS
INSTRUCTIONS FOR COMPLETION OF THE CERTIFICATE
OF INCORPORATION STOCK CORPORATION
INSTRUCTIONS
1. NAME OF CORPORATION: Please provide the name of the corporation. The name of the corporation must contain
one of the following designations: "corporation", "incorporated", or "company", or the abbreviation "corp.", "inc." or
"co.", or words or abbreviations of lik