CERTIFICATE OF FORMATION
NEW RELIGIOUS CORPORATION
OR
RELIGIOUS SOCIETY
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: $50
MAKE CHECKS PAYABLE TO "SECRETARY
OF STATE"
PAGE 1 OF 2
FORM CICR-1-1.0
Rev. 1/1/2015
WE, THE UNDERSIGNED, CERTIFY THAT WE, DESIRING TO UNITE FOR PUBLIC WORSHIP, HEREBY
ASSOCIATE OURSELVES AS A BODY POLITIC UNDER SECTION 33-264A CONCERNING RELIGIOUS
SOCIETIES AND RELIGIOUS CORPORATIONS.
THE NAME OF THE (RELIGIOUS CORPORATION) (VOLUNTARY ASSOCIATION/RELIGIOUS SOCIETY) IS:
DATED AT:
THE FORM OF ORGANIZATION IS
(CHECK EITHER (A) OR (B)):
A. A RELIGIOUS CORPORATION
B. A VOLUNTARY ASSOCIATION/RELIGIOUS SOCIETY
WE, HEREBY DECLARE, UNDER THE PENALTIES OF FALSE STATEMENT, THAT THE STATEMENTS MADE IN
THE FOREGOING CERTIFICATE ARE TRUE.
TO BE SIGNED BY AT LEAST THREE PERSONS:
1. NAME [PLEASE TYPE OR BLOCK PRINT]
ZIP:STATE:
CITY:
ADDRESS:
RESIDENCE ADDRESS: (P.O.BOX UNACCEPTABLE)
THIS DAY OF
SIGNATURE:
