State of Nef Hampshire
Filed
Date Filed: 12/31/2014
Business ID: 719345
William M. Gardner
Secretary of State
Filing fee: $50.00 Form TN-1—
Use black print or type. RSA 349
APPLICATION FOR REGISTRATION OF TRADE NAME
PLEASE TYPE OR PRINT CLEARL
1. BUSINESS NAME: Charter Contracting Company of MA
(Name cannot include “INC.” or other corporate designation)
2. BUSINESS ADDRESS: 500 Harrison Avenue, Suite 4R Boston MA 02118
No, & Street City / town State Zip
MAILING ADDRESS (if different):
No. & Street City / town State Zip
3. BRIEF DESCRIPTION OF KIND OF BUSINESS TO BE CARRIED ON: Civil construction,
environmental remediation, soil management and real estate development.
4. DATE BUSINESS ORGANIZED: 10/29/2014
(month / day / year)
5-A. ENTITY APPLICANT: !F THE APPLICANT IS A CORPORATION OR OTHER ENTITY, LIST
CORPORATION'S OR ENTITY'S EXACT NAME AND INCLUDE TITLE OF PERSON SIGNING. if
more space is needed for additional! entity applicants, please attach additional sheet(s).
Charter Contracting Company, LLC 500 Harrison Avenue, Suite 4R
TYPE IN] ENJITY NAME NO. STREET ;
j Boston MA 02118
Aur RIZEDISUSN RE TOWNICITY STATE ZIP
Robert L. Delhome, Manager
TYPE OR PRINT SIGNER'S NAME AND TITLE
5-B. INDIVIDUAL APPLICANTS: PLEASE TYPE OR PRINT APPLICANTS’ NAME(S), ADDRESS(ES)
AND INCLUDE SIGNATURE. If more space is needed for additional individual applicants, please
attach additional sheet(s).
1.
TYPE OR PRINT NAME NO STREET
SIGNATURE TOWNICITY STATE ZIP
2.
TYPE OR PRINT NAME NO. STREET
SIGNATURE TOWNICITY STATE = ZIP
3.
TYPE OR PRINT NAME NO. STREET
SIGNATURE TOWNICITY STATE zip
State of New Hampshire
Form TN 1 - Application for Registration of Trade Name 1 Page(s) .
DISCLAIMER: Ail documents filt vill be
vee soartnaas even HW ll HHA | tM | i Hi |
Mail fee and DATED AND SIGNI , 107 North
Canaan NM N3304 71436545047
Main Street, Concord, NH 03301 .-__.
Form TN-1 Pg 1 (05/2012)
