INSTRUCTIONS: STATEMENT OF RESERVATION OF NAME (Sample)

This form is only a sample.  The applicant cannot submit this form to the Secretary of State, but the form does serve as a template.  An attorney should help an applicant write the Statement of Reservation.  After the Statement of Reservation of Name is submitted and approved by the Secretary of State, the name will be reserved for 120 days. 

“Statement of Reservation of Name (Sample) Step 1”

In part 2, provide the proposed name of the company.  Make sure to review rules of names for corporations, partnerships, and limited liability companies. 

“Statement of Reservation of Name (Sample) Step 2”

Use part 3 if any of the restricted words are used within the entity’s name, the true name of the entity, or the trade name or trademark.  Check the appropriate box if applicable. 

“Statement of Reservation of Name (Sample) Step 3”

Provide the full name of the applicant in part 4.  If a business organization is filing a Statement of Reservation of Name, leave the first line blank and fill in the name of the business organization. 

“Statement of Reservation of Name (Sample) Step 4”

In part 5, provide the mailing address of the applicant or business organization.  Provide a street name or post office box information on the first two lines.  Provide the city, state, and zip code on the third set of lines.  If the business is foreign, provide a province (if applicable) and country on the fourth set of lines. 

“Statement of Reservation of Name (Sample) Step 5”

Provide the full name and address of the person delivering this form to the Secretary of State in part 6.  The perjury notice below part 5 applies to the person delivering or mailing this form as well.  An additional form may be attached in order to list other individuals responsible for delivering this form. 

“Statement of Reservation of Name (Sample) Step 6”

Make sure to review this document with your attorney.  The applicant will have to provide their signature at the bottom of the form, and the attorney will have to provide their name, bar information, and contact information at the bottom of the form as well. 

INSTRUCTIONS: CERTIFICATE OF AMENDMENT (old code) (Corporation) D0-01

At least original Certificate of Amendment with all original signature needs submitted to the Secretary of State.  A certified copy of the Certificate is then returned to the corporation.  The copy needs filed with the County Clerk in the county of the corporation’s main office no later than 60 days after the date of filing the Certificate with the Secretary of State. 

“Certificate of Amendment (old code) (Corporation) D0-01 Step 1”

Provide the name of the corporation on the first line of the document.  Provide the name of the corporation again in section A. 

“Certificate of Amendment (old code) (Corporation) D0-01 Step 2”

Provide the specific date when the amendment was adopted by the shareholders of the corporation, including day, month, and year in section B.

“Certificate of Amendment (old code) (Corporation) D0-01 Step 3”

In section C, provide the number of outstanding shares and the shares entitled to vote.  Then, provide the number of shares voted for and the number of shares voted against on the third and fourth lines of this section. 

“Certificate of Amendment (old code) (Corporation) D0-01 Step 4”

If the amendment applies to an exchange, reclassification, or cancellation of issued shares, describes how the repercussions of the amendment in section D.  If an attached amendment provides the same description, do not restate the repercussions in this section. 

“Certificate of Amendment (old code) (Corporation) D0-01 Step 5”

Section E is required if the amendment makes a change in the amount of capital.  If you need to fill out this section, provide the amount of changed stated capital in dollars and cents. 

“Certificate of Amendment (old code) (Corporation) D0-01 Step 6”

Provide the name of the corporation on the first line of the second page.  Provide the date of signature on the second set of lines.  Provide the corporation’s name again above the president’s printed name.  The president of the corporation is then required to sign and date the document.  Have the Secretary sign the bottom of the form as well. 

“Certificate of Amendment (old code) (Corporation) D0-01 Step 7”

If this form is mailed in, provide a filing fee of $50.00.  The fee is only $45.00 if filed online.  If you’re mailing the form, make the check payable to the Arkansas Secretary of State. 

INSTRUCTIONS: ARTICLES OF AMENDMENT LCA-1-1.0

This form is used to make changes within the original Articles of Organization for a domestic limited liability company in Connecticut.  LLCs are encouraged to work with an attorney while completing and submitting this document to the CT Secretary of the State. 

“Articles of Amendment LCA-1-1.0 Step 1”

Provide the name and address of the filing party at the top of this form. 

“Articles of Amendment LCA-1-1.0 Step 2”

In part 1, provide the current name of the LLC as it appears under the Secretary of the State.  Make sure to provide the LLCs designation in the name. 

“Articles of Amendment LCA-1-1.0 Step 3”

Check the appropriate box in part 2.  If original Articles of Organization are Restated or Amended and Restated, you need to provide the amended material in part 3 or attach separate sheets to this document. 

1.       Check Box A if you’re only changing the name of the LLC.  Provide the amended name on the line provided. 

2.       Check Box B if the LLC’s Articles of Organization need amended.

3.       Only check Box C if all the Articles of Organization are being amended and combined into one document.

4.       Only check this box if the previous amendments to the Articles or Organization are simply being combined into one document. 

“Articles of Amendment LCA-1-1.0 Step 4”

Provide the full text of the amendment in part 3 and provide attached sheets if necessary.  Apart from the full text, provide what you’re amending and reference the attached sheets.  Access the second page of this document for more instructions. 

“Articles of Amendment LCA-1-1.0 Step 5”

Provide the name, title, and signature of the signatory in part 4.  The signatory also needs to date their signature in part 4. 

“Articles of Amendment LCA-1-1.0 Step 6”

This document requires a filing fee of $120.  Make the check payable to the “Secretary of the State.” If you’re mailing this form, you’ll want to use the following address:

Commercial Recording Division

Connecticut Secretary of the State

P.O. Box 150470

Hartford, CT 06115-0470

If you’re delivering the form personally, use the following address:

Commercial Recording Division

Connecticut Secretary of the State

30 Trinity Street

Hartford, CT 06106