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Connecticut

Profit Corporation

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Filing Party
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Name of Corporation
Please select three names for the corporation
1st Choice
2nd Choice
3rd Choice
Total Number of Authorized Shares
Shares
Class Number of Shares per Class
IF MORE THAN ONE CLASS OF SHARES, SET FORTH THE TERMS, LIMITATIONS, RELATIVE RIGHTS AND PREFERENCES OF EACH CLASS OF SHARES AND SERIES THEREOF PURSUANT TO CONN. GEN. STAT. SECTION 33-665:
Corporate E-mail address
NAICS Code
Agent
Agent is
- An individual
- A business
Agent's Full Legal Name
First Middle Last
Agent's Business Address
Street Address City State ZIP Code
Agent's Connecticut Residence Address
Street Address City State ZIP Code
Agent's Connecticut Mailing Address
Street Address City State ZIP Code
Name of Business
Person signing on behalf of agent
First Middle Last
Connecticut Business Address
Street Address City State ZIP Code
Connecticut Mailing Address
Street Address City State ZIP Code
ELECTION OF BENEFIT CORPORATION STATUS
- The Corporation elects to be a Benefit Corporation. In addition to any other stated purposes for which the corporation is formed, the corporation shall also have the purpose to create a general public benefit as defined in the Connecticut Benefit Corporation Act. [NOTE: If the corporation also seeks to have one or more specific public benefit(s) in addition to the general public benefit, then the corporation must set forth the specific public benefit(s), if any, below, under “Other Provisions.”]
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I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.
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CAPACITY OF PERSON SIGNING (E.G., AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)
Authorization*
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