SW6231111_Signing Official Title & Position Information_20231128

CA202308000984
SOSID: 0391866
Date Filed:3/21/2023Elaine F.Marshall
1:4BUSINESS CORPORATION ANNUAL REPO y. North Carolina Secretar of State
�,�s � CA2023 080 00984
1/6/2022
NAME OF BUSINESS CORPORATION: Connelly Builders,Inc. .
0391866 Filing Office Use Only
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: SC
12/31/2022
REPORT FOR THE FISCAL YEAR END: • ❑ ❑
SECTION A:REGISTERED AGENT'S INFORMATION 0 ❑X Changes
1.NAME OF REGISTERED AGENT: Blanco Tackabery& Matamoros, P.A.
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3.REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
404 N. Marshall Street P.O. Drawer 25008
Winston Salem, NC 27101 Forsyth Winston-Salem, NC 27114 Forsyth
SECTION B:PRINCIPAL OFFICE INFORMATION -
1.DESCRIPTION OF NATURE OF BUSINESS: Residential Apartment Construction
I'rivacv
2.PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Rarlartinn
CI' CI
4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
125 Old Chapin Rd 125 Old Chapin Rd
Lexington,SC 29072 Lexington Lexington,SC 29072 Lexington
6.Select one of the following if applicable.(Optional see instructions)
❑ The company is a veteran-owned small business
❑ The company is a service-disabled veteran-owned small business
SECTION C:OFFICERS(Enter additional officers in Section E.) •
NAME: T. Kevin Connelly NAME: NAME:
TITLE: President TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
125 Old Chapin Rd •
Lexington,SC 29072 Lexington
SECTION D: ET _ •. • _., _ :j ►ection D must be completed in its entirety by a person/business
entity. o2 I o (g3 •
SIGNATURE DATE
Form must be `
signedtiby an officer listed under Sect. C of lhi form.
17 [
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Print or Type Name of Offic Print or Type Title of Officer
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF$25
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525