Fillable APPLICATION FOR CERTIFICATE OF AUTHORITY (How to Start a Business)

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APPLICATION FOR CERTIFICATE OF AUTHORITY (How to Start a Business)

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APPLICATION FOR CERTIFICATE OF AUTHORITY
FOREIGN CORPORATION
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
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:
FILING PARTY (CONFIRMATION WILL BE SENT TO THIS ADDRESS):
NAME:
FILING FEE: $385.00
EXCEPTION: $40.00 FILING FEE FOR
NONSTOCK (NONPROFIT) CORPORATIONS.
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
1. NAME OF CORPORATION IN ITS STATE OR COUNTRY OF FORMATION:
2. THE CORPORATION'S NAME IS NOT AVAILABLE FOR USE IN CONNECTICUT. THE CORPORATION
SHALL, THEREFORE, TRANSACT BUSINESS IN CONNECTICUT UNDER THE FOLLOWING NAME:
(COMPLETE ONLY IF THE NAME OF THE CORPORATION IS NOT AVAILABLE FOR USE IN CONNECTICUT)
3. CHECK EITHER A OR B:
4. STATE/COUNTRY OF INCORPORATION:
5. DATE OF INCORPORATION:
6. DURATION: (CHECK ONE)
7. DATE CORPORATION BEGAN TRANSACTING BUSINESS/CONDUCTING AFFAIRS IN CONNECTICUT:
(MM,DD,YYYY)
ADDRESS:
CITY:
STATE: ZIP:
8. PRINCIPAL OFFICE ADDRESS OF THE
CORPORATION:
PAGE 1 OF 3
FORM CFAS-1-1.0
Rev. 1/1/2015
A. THE CORPORATION IS ORGANIZED FOR PROFIT. B. THE CORPORATION IS NONPROFIT.
OTHERPERPETUAL (SPECIFY)
ZIP:STATE:
CITY:
ADDRESS:
9. MAILING ADDRESS OF THE CORPORATION:
PAGE 2 OF 3
FORM CFAS-1-1.0
Rev. 1/1/2015
NAME TITLE RESIDENCE ADDRESS BUSINESS ADDRESS
10. OFFICERS
11. DIRECTORS
NAME RESIDENCE ADDRESS BUSINESS ADDRESS
NOTE: IF ADDITIONAL SPACE IS NEEDED, PLEASE REFERENCE AN 8 1/2 X 11 ATTACHMENT
12. APPOINTMENT OF REGISTERED AGENT FOR SERVICE OF PROCESS: (CHECK A OR COMPLETE B)
B. PRINT OR TYPE NAME OF AGENT
A. THE CORPORATION APPOINTS THE SECRETARY OF THE STATE OF CONNECTICUT AND HIS
SUCCESSORS IN OFFICE TO BE ITS AGENT UPON WHOM ANY PROCESS, IN ANY ACTION OR
PROCEEDING AGAINST IT, MAY BE SERVED
PAGE 3 OF 3
FORM CFAS-1-1.0
Rev. 1/1/2015
STATE: ZIP:
RESIDENCE ADDRESS: (P.O.BOX UNACCEPTABLE)
ACCEPTANCE OF APPOINTMENT:
(SIGNATURE OF AGENT)
NAME OF SIGNATORY
(print or type)
CAPACITY/TITLE OF SIGNATORY
SIGNATURE
BUSINESS ADDRESS: (P.O.BOX UNACCEPTABLE)
STATE: ZIP:
CITY:
ADDRESS:
CITY:
ADDRESS:
13. CORPORATION EMAIL ADDRESS: REQUIRED. (If none, must state "NONE".)
DATED THIS DAY , 20
14. EXECUTION: (SUBJECT TO PENALTY OF FALSE STATEMENT)
APPLICATION FOR A CERTIFICATE OF AUTHORITY FOREIGN CORPORATION
Filing Fee: $385.00 STOCK
$40.00 NON-STOCK
A foreign corporation desiring to transact business in Connecticut may obtain a certificate of authority by filing
the Application for Certificate of Authority. The Application includes an appointment of the registered agent.
A certificate of the corporation's legal existence (some states refer to this as a certificate of good standing)
from the state of incorporation, authenticated by a proper officer of that state, must accompany the Application
for Certificate of Authority. Such certificate must be received within 90 days from the date of issuance.
Please note that the name of the foreign corporation filing an application for a certificate of authority must contain a word
or words of corporate designation, even if the laws of its state of incorporation do not so require. If specific words or
abbreviations are regarded as corporate designations in a foreign language, the filing must be accompanied by a legal
opinion stating that fact. Documents submitted in any language other than English require an English translation.
FAILURE TO PROVIDE ANY OF THE ABOVE INFORMATION WILL RESULT IN THE REJECTION OF THE
DOCUMENT.
Also, the foreign corporation’s name must be distinguishable from the name of another active business on our records;
when it is not, the corporation may adopt for use in this state a fictitious name. The fictitious name must be
distinguishable from other business names on record and must contain a word or words of corporate designation, such
as “incorporated” or an abbreviation such as “corp”.
If the corporation wishes to adopt a fictitious name for use in Connecticut, it must present for filing a resolution by its
board of directors, certified by its secretary, adopting the fictitious name along with its Application for Certificate of
Authority. Please also note the following information relating to the use of a fictitious name: a fictitious name may only
be used by a foreign corporation when its real name is unavailable for use in Connecticut; once the real name of the
corporation becomes available, the fictitious name may no longer be used; the corporation may not amend its
certificate of authority to change a fictitious name; if a fictitious name is used, the corporation will be indexed on our
records under that name and no other.
In the event a foreign corporation holding a certificate of authority changes its corporate name, place of incorporation,
or the period of its duration, it must apply for an amended certificate of authority.
Please contact the Department of Revenue Services or your tax advisor as to any potential tax
liability relating to your business.
MAKE CHECKS PAYABLE TO THE SECRETARY OF THE STATE
FORM CFAS-1-1.0
Rev. 1/1/2015
DO NOT SCAN THIS PAGE
INSTRUCTIONS
FORM CFAS-1-1.0
Rev. 1/1/2015
DO NOT SCAN THIS PAGE
INSTRUCTIONS
INSTRUCTIONS
1. NAME OF CORPORATION IN STATE OR COUNTRY OF FORMATION: Please provide the name of the
corporation as it appears on the certificate of legal existence submitted with the application.
2. IF NAME PROVIDED IN NUMBER 1 ABOVE IS NOT AVAILABLE FOR USE IN CONNECTICUT, THE NAME
UNDER WHICH CORPORATION SHALL TRANSACT BUSINESS IN CONNECTICUT: If the corporation's name is
not available, please provide a name (which may be a fictitious name) that shall be used in the state of Connecticut
and which must be distinguishable from all other business names on record at the Office of the Secretary of the State.
3. CHECK EITHER A. OR B.: Place a check on the appropriate line to designate whether the corporation is organized for
profit or nonprofit.
4. STATE/COUNTRY OF INCORPORATION: Please provide the corporation's state or country of formation. Note: the
state or country, must match the state or country of incorporation indicated on the corporation's certificate of legal
existence.
5. DATE OF INCORPORATION: Please provide the complete date upon which the corporation was formed in its state or
country of incorporation. The date must be in the form of a month, day and year and must match the date of
incorporation presented on the corporation's certificate of legal existence.
6. DURATION: Please indicate whether the corporation has perpetual existence or has a limited duration by placing a
check mark next to the appropriate designation. Note: if a check mark is placed next to "OTHER", the corporation must
precisely specify the limit to its duration.
7. DATE CORPORATION BEGAN TRANSACTION BUSINESS/CONDUCTING AFFAIRS IN CONNECTICUT:
Please provide the exact month, day and year upon which the corporation began transacting business/conducting
affairs in Connecticut.
8. PRINCIPAL OFFICE ADDRESS OF THE CORPORATION: Please provide a complete street address of the
corporation's principal office including a street number, street name, city, state, postal code and country if other than
the United States. Note: P.O. boxes are only acceptable as additional information.
9. MAILING ADDRESS OF THE CORPORATION: Please supply an address, which may be a P.O. Box, to which the
Office of the Secretary of the State must mail all matter required or permitted to the corporation by either the Business
Corporation Act or the Revised Nonstock Corporation Act.
10. OFFICERS: Please provide the name of all of the corporation's officers, their titles and both 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.
11. DIRECTORS: Please provide the name of all of the corporation's directors and both addresses. Include 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.
12. APPOINTMENT OF REGISTERED AGENT: The corporation may not appoint itself as its registered agent. The
corporation may appoint either the Secretary of the State by placing a check next to selection A or a natural person
who is a resident of Connecticut; a Connecticut corporation, limited liability company, limited liability partnership or
statutory trust; or a foreign corporation, limited liability company, limited liability partnership or statutory trust, which
has procured a certificate of authority to transact business in Connecticut by completing item B.
Please note the following: if the agent being appointed is a natural person that person's business address must be
provided under the heading Business/registered office address and their residence address under the heading
Residence address; if the agent appointed is an entity, it must provide its principal office address under the
business/registered office address heading; the agent must sign accepting the appointment in the space provided;
the signatory must print their name & capacity under which they sign if signing on behalf of an entity and all
addresses must include a street number, street name, city, state, postal code.
13. CORPORATION EMAIL ADDRESS: REQUIRED. (If none, must state "NONE".) The Secretary must notify entities
via email when their Annual Reports are due.
14. EXECUTION: The document must be executed by an authorized official of the corporation. That person must print or
type their name, state the capacity under which they sign 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
FORM CFAS-1-1.0
Rev. 1/1/2015
DO NOT SCAN THIS PAGE
INSTRUCTIONS
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Completed 29 July 2020

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