Connecticut Certificate of Organization, Domestic LLC

Under Filing Party, enter the Name, Address, City, State, ZIP Code, Email and Telephone Number; confirmation will be sent to the Filing Party address.

Enter the Name of Limited Liability Company in Box 1; it is required.

1. Name of Limited Liability Company: The name must include a business designation, such as Limited Liability Company, LLC, L.L.C., Limited Liability Co., Ltd.

Professional LLCs must contain P.L.L.C., PLLC, or Professional Limited Liability Company.

Limited may be abbreviated “Ltd” and Company may be abbreviated “Co” and the name must be distinguishable from all other active business names on record with the office.

Box 2, Principal Office Address, is required: provide the full address; P.O. Box unacceptable.

2. Principal Office: Include street number, street name, city, state, and zip code.

No P.O. Box.

Box 3, Mailing Address, is required: provide the full address; P.O. Box acceptable.

3. Mailing Address: Include street number, street name, city, state, and zip code.

Note: Complete either 4A or 4B on the following page, but not both. 4. Appointment of Registered Agent (Required):

4. Appointment of Registered Agent: The Limited Liability Company may not be its own agent.

An individual or business entity (other than this LLC) must be appointed to accept legal process, notice, or demand served upon the Limited Liability Company.

If Agent is an individual, print or type full legal name.

The Agent may be any individual who is a resident of Connecticut, including a member or manager of the LLC.

An individual must provide his/her complete business address (or state “none”), Connecticut residence address and Connecticut mailing address.

Business Address (Required - No P.O. Box).

Connecticut Residence Address (Required - No P.O. Box).

Connecticut Mailing Address (Required) (P.O. Box is acceptable).

4D Signature accepting appointment.

“Note: Do not complete 4B below if Agent appointed in 4A on the previous page.”

If Agent is a business, print or type name of business as it appears on records.

The Agent may be one of the following business types, already on record with the office, with a Connecticut address: A Connecticut corporation, limited liability company, limited liability partnership, or statutory trust. A foreign corporation, limited liability company, limited liability partnership, or statutory trust, which has obtained a Certificate of Authority to transact business in Connecticut and has a Connecticut address on file with the office.

Provide the Connecticut principal office address at “Business Address” and the Connecticut mailing address at “Mailing Address.” Connecticut Business Address (Required - No P.O. Box). Connecticut Mailing Address (Required - P.O. Box is acceptable).

4D Signature accepting appointment on behalf of agent. Print full name and title of person signing on behalf of agent.

Member or Manager Information: The Limited Liability Company must list the name, title, business address, and residence address of at least one member or manager of the Limited Liability Company (if no business address, must state “none”).

Include street number, street name, city, state, and zip code, and check the appropriate box under “Title.”

5. Manager or Member Information (Required): (Must list at least one Manager or Member of the LLC. Attach 8 1/2” x 11” sheets if necessary): Full Name Title Business Address (No P.O. Box) Residence Address (No P.O. Box) Check if none

(Additional member(s) and manager(s) information may be included on an attached 8 ½” x 11” sheet.)

Note: LLCs may have as many members/managers as they wish. However, only three will be displayed on the business registry page. Additional names will be available by requesting copies of the original filing.

Box 6, Entity E-mail Address, is required. Box 7, NAICS Code, is required: six digits.

Email Address: (Required) The Secretary of the State will notify entities via email when their Annual Reports are due.

NAICS Code: (Required) (Go to www.census.gov/naics) 1-888-756-2427. (business / occupation / profession code)

Box 8, Execution / Signature, is required: subject to penalties of false statement.

Note that the execution/signature is made under the penalties of false statement, certifying that the information provided in the document is true.

Print or type the Name of Organizer; the LLC cannot be its own Organizer.

The Limited Liability Company itself may not be its own organizer, but a member/manager of the LLC may be the organizer.

If the organizer is another business entity, the person signing on behalf of the business entity must provide his/her full name and title for the organizing entity.

Date (mm/dd/yyyy).

“An annual report will be due yearly, in the following year that the entity was formed/registered between January 1st and March 31st, and can be easily filed online at business.ct.gov.”

Contact your tax advisor or the taxpayer service center at the Department of Revenue Services as to any potential tax liability relating to your business.

“Note: this form can be filed online at business.ct.gov.”

Filing Fee: $120. Make checks payable to “Secretary of the State” (checked November 8, 2026).