Form Lp 109 - Application To Reserve Name Or Transfer Reserved Name
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LP 109
FILE #
Illinois
Form
Uniform Limited Partnership Act
This space for use by Secretary of State.
August 2012
Application to Reserve Name or
Secretary of State
Department of Business Services
Transfer Reserved Name
Limited Liability Division
501 S. Second St., Rm. 357
Springfield, IL 62756
SUBMIT IN DUPLICATE
217-524-8008
Please type or print clearly.
Payment may be made by check
payable to Secretary of State. If check
Filing Fee: $50
is returned for any reason this filing
Approved:
will be void.
Please do not send cash.
State basis of Reservation of Name or Transfer of Reserved Name by checking the appropriate box:
A person intending to organize an Illinois limited partnership and adopt the name.
A person intending to obtain a Certificate of Authority for a foreign limited partnership.
An Illinois or foreign limited partnership intending to adopt the name.
______________________________
A foreign limited partnership intending to adopt the name in order to qualify to transact business in this state.
RESERVE NAME
1. Limited Partnership Name to be reserved for a period of 90 days:
_____________________________________________________________________________________
(Must contain the words “Limited Partnership,” “Limited Liability Limited Partnership,” “L.P.,” “LP,” “LLLP” or “L.L.L.P.,”
and cannot contain the words “Company,” “Corporation,” “Incorporated,” “Inc.,” “Co.” or “Corp.”)
2. Applicant Name: ________________________________________________________________________
3. Applicant Address: ______________________________________________________________________
Street Address
_____________________________________________________________________________________
City, State, ZIP
4. The undersigned affirms, under penalties of perjury, that the facts stated herein are true, correct and complete.
Date: ____________________________________
Month, Day, Year
________________________________________
Signature
________________________________________
Name and Title (type or print)
________________________________________
General Partner Name if corporation or other entity
♻ Printed on recycled paper. Printed by authority of the State of Illinois. August 2012 — 1 — C LP 27.4
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