Corporate Checklist Please fill out the form below to form a new Corporation Corporate Checklist If you are human, leave this field blank. Full Name of Corporation (with desired punctuation): * Full Names of Incorporator(s) of Corporation: Business Address, Business Telephone Number, Business e-mail address and Business Fax Number (if known) of Corporation: Home Address of Incorporator(s) (if different from business address of Corporation): Full Names, Addresses, Telephone Numbers, and Dates of Birth of all Stockholders of Corporation (the Incorporators and Stockholders may be the same people). Please note that the Social Security Numbers of all Stockholders are also required, but please call our office with this information for security purposes. Percentage Stock Ownership Interest of each Stockholder of the Corporation: List any Special stockholder rights: Amount of authorized stock: Stock Option Par/No Par Common/Preferred Principal Activity of Corporation(description of type of business): Capital contribution of each Stockholder (may be either cash or property): Names, home and business addresses, and dates of birth of Directors. Please call our office with the Social Security Numbers of all Directors. Names, home and business addresses, and dates of birth of Officers. Please call our office with the Social Security Numbers of all Officers. Month of Annual Meeting of Corporation (typically it is the month of formation): Number of Employees expected within 12 months after formation: First date wages will be paid to employees: To whom are most of the products or services of the Corporation sold: Public Business Other Not Applicable Bank at which principal business account will be maintained Will your business be subject to the Connecticut Sales or Use Tax? Yes No Uncertain Name, address and telephone number of accountant, if any Subchapter S election? Yes No Do you want the Secretary of State to expedite the formation of your Corporation for an extra $50.00? Yes No Please note that without paying the expedited fee, the processing time by the State can range from 5 – 10 days. Name of person/persons authorized to sign checks: Fiscal Year End: Submit DOCUMENTS If you fill out the applicable checklist below, we can form your LLC or Corporation. b LLC Checklist To form a new Limited Liability Company