Interim Notice Form PDF Details

When managing the dynamic landscape of a Limited Liability Company (LLC), both domestically and abroad in Connecticut, it's crucial to stay abreast of leadership changes and ensure they are properly documented with the state. The Interim Notice of Change of Manager/Member form serves as a vital tool for this purpose, offering a structured way to communicate any adjustments in an LLC's management or membership to the Connecticut Secretary of the State. This document mandates the inclusion of complete and accurate details regarding new and exiting managers or members, ranging from their names and titles to their full residential and business addresses—P.O. boxes being a notable exception unless provided as supplemental information. Additionally, the form requires a thorough execution section where an authorized signatory from the LLC must affirm the veracity of the submitted information under the risk of penalties associated with false statements. With a modest filing fee and the necessity to ensure all information precisely matches existing state records, this notification plays a critical role in maintaining the accuracy and legality of an LLC's recorded details, thereby facilitating transparent and efficient governance and operational continuity.

QuestionAnswer
Form NameInterim Notice Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesct 1 notice corporation form, change officer, ct cinc corporation search, ct 1 officer form

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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

INTERIM NOTICE OF CHANGE OF

MANAGER/MEMBER

LIMITED LIABILITY COMPANY-DOMESTIC & FOREIGN

C.G.S. §34-247k(f)

USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.

FILING PARTY (CONFIRMATION WILL BE SENT TO THIS ADDRESS):

NAME:

MAILING ADDRESS:

CITY:

STATE:ZIP:

FILING FEE: $20

MAKE CHECKS PAYABLE TO "SECRETARY OF THE STATE"

1.COMPLETE NAME OF LIMITED LIABILITY COMPANY:(REQUIRED):(MUST MATCH OUR RECORDS EXACTLY AND INCLUDE BUSINESS DESIGNATION I.E. LLC, L.L.C., ETC.)

2.*NEW MANAGER/MEMBER INFORMATION: (NEW INFORMATION MUST INCLUDE NAME, TITLE, RESIDENCE AND BUSINESS ADDRESS)

(NOTE: ADDING A NEW MANAGER/MEMBER DOES NOT REPLACE AN EXISTING MANAGER/MEMBER. PROCEED TO SECTION 3 TO REMOVE EXISTING MANAGER/MEMBER, IF APPLICABLE).

NAME:

 

TITLE:

 

 

 

RESIDENCE ADDRESS: (P.O.BOX UNACCEPTABLE)

BUSINESS ADDRESS: (P.O.BOX UNACCEPTABLE)

STREET:

 

STREET:

 

CITY:

 

CITY:

 

STATE:

ZIP:

STATE:

ZIP:

 

 

 

 

NAME:

 

TITLE:

 

 

 

RESIDENCE ADDRESS: (P.O.BOX UNACCEPTABLE)

BUSINESS ADDRESS: (P.O.BOX UNACCEPTABLE)

STREET:

 

STREET:

 

CITY:

 

CITY:

 

STATE:

ZIP:

STATE:

ZIP:

 

 

 

 

NAME:

 

TITLE:

 

 

 

RESIDENCE ADDRESS: (P.O.BOX UNACCEPTABLE)

BUSINESS ADDRESS: (P.O.BOX UNACCEPTABLE)

STREET:

 

STREET:

 

CITY:

 

CITY:

 

STATE:

ZIP:

STATE:

ZIP:

 

 

 

 

PAGE 1 OF 2

 

 

Rev. 7/2017

3. MANAGER(S)/MEMBER(S) WHO HAVE CEASED TO BE MANAGER(S)/MEMBER(S):

NOTE: NAME AND TITLE MUST MATCH OUR RECORDS EXACTLY OTHERWISE CHANGES WILL NOT BE REFLECTED. BE CAREFUL TO INCLUDE ITEMS SUCH AS JR., SR., MIDDLE INITIALS, ETC. CHECK CONCORD ONLINE FOR NAME OF RECORD. INDIVIDUAL/ENTITY WILL

ONLY BE REMOVED FROM THOSE TITLES INDICATED, THEREFORE, BE SURE TO INCLUDE ALL APPLICABLE TITLES.

NAME:

TITLE:

 

 

NAME:

TITLE:

 

 

NAME:

TITLE:

 

 

NAME:

TITLE:

 

 

NAME:

TITLE:

4.EXECUTION - REQUIRED: (SUBJECT TO PENALTY OF FALSE STATEMENT)

DATE (MM/DD/YYYY)

NAME OF SIGNATORY

CAPACITY/TITLE OF SIGNATORY

SIGNATURE

*NOTE: LLC’S MAY HAVE MANY MANAGERS/MEMBERS, HOWEVER ONLY UP TO THREE OF THOSE PROVIDED WILL BE SHOWN ON THE DATABASE. ADDITIONAL NAMES WILL BE AVAILABLE BY REQUESTING COPIES OF THE ORIGINAL FILING.

PAGE 2 OF 2

Rev. 7/2017

INTERIM NOTICE OF CHANGE OF MANAGER/MEMBER

LIMITED LIABILITY COMPANY-DOMESTIC & FOREIGN

C.G.S. §§34-247k(f)

INSTRUCTIONS

1.NAME OF LIMITED LIABILITY COMPANY: Please provide the complete name of the Limited Liability Company as it currently appears on the records of the Secretary of the State. If the notice is being filed by a foreign Limited Liability Company, such Limited Liability Company should provide the name under which it is currently authorized to transact business in Connecticut.

2.NEW MANAGER(S)/MEMBER(S) INFORMATION: Please print or type the full name of the Limited Liability Company's NEW manager(s) or member(s), their titles and their residence and business 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.

3.MANAGER(S)/MEMBER(S) WHO HAVE CEASED TO BE MANAGER(S)/MEMBER(S): Please print or type the full name of Manager(s)/Member(s) who have ceased holding their position within the Limited Liability Company and their title(s) as they appear on our records. NOTE: Name and title(s) must match our records exactly otherwise changes will not be reflected. Be careful to include items such as Jr., Sr., middle initials, etc. Check Concord online for name of record. Individual/Entity will only be removed from those titles indicated, therefore, be sure to include all applicable titles.

4.EXECUTION: The document must be executed (signed) by an authorized official of the Limited Liability Company. That person must print or type his or her name and state the capacity under which he or she signs. 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

INSTRUCTIONS

DO NOT SCAN THIS PAGE

Rev. 7/2017

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stage 1 to writing ct 1 officer form

In the STATE, NAME, ZIP, STATE, TITLE, ZIP, RESIDENCE ADDRESS POBOX, BUSINESS ADDRESS POBOX UNACCEPTABLE, STREET, CITY, STATE, NAME, ZIP, STREET, and CITY field, note down your data.

step 2 to completing ct 1 officer form

Determine the necessary information in the NOTE NAME AND TITLE MUST MATCH OUR, NAME, NAME, NAME, NAME, NAME, TITLE, TITLE, TITLE, TITLE, TITLE, EXECUTION REQUIRED SUBJECT TO, DATE MMDDYYYY, NAME OF SIGNATORY, and CAPACITYTITLE OF SIGNATORY field.

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