Form Bca 13.15 - Application For Authority To Transact Business In Illinois Page 2
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27.
The purpose or purposes for which it was organized which it proposes to pursue in the transaction of business in this
state: (If not sufficient space to cover this point, add one or more sheets of this size)
8.
Authorized and issued shares:
Number of Shares
Number of Shares
Class
Series
Par Value
Authorized
Issued
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
(If more, attach list)
9.
Paid-in Capital:
$ ________________________________
(“Paid-in Capital” replaces the terms Stated Capital & Paid-in Surplus and is equal to the total of these accounts.)
10. (a) Give an estimate of the total value of all the property* of the
corporation for the following year:
$ ________________________________
(b) Give an estimate of the total value of all the property* of the
corporation for the following year that will be located in Illinois:
$ ________________________________
(c) State the estimated total business of the corporation to be
transacted by it everywhere for the following year:
$ ________________________________
(d) State the estimated annual business of the corporation to be
transacted by it at or from places of business in the State of
Illinois:
$ ________________________________
11. Interrogatories: (Important - this section must be completed.)
(a) Is the corporation transacting business in this state at this time?
(b) If the answer to item 11(a) is yes, state the exact date on which it commenced to transact business in Illinois:
12. This application is accompanied by a certified copy of the articles of incorporation, as amended, duly authenticated, within
the last ninety (90) days, by the proper officer of the state or country wherein the corporation is incorporated.
13. The undersigned corporation has caused this application to be signed by a duly authorized officer, who affirms, under
penalties of perjury, that the facts stated herein are true. (All signatures must be in BLACK INK.)
Dated _________________________ , __________
__________________________________________
(Month & Day)
(Year)
(Exact Name of Corporation)
_________________________________
(Any Authorized Officer’s Signature)
_________________________________
(Print Name and Title)
* PROPERTY as used in this application shall apply to all property of the corporation, real, personal, tangible, intangible,
or mixed without qualifications.
Note 1: Payment in connection with this application must be in the form of a certified check, cashier's check, Illinois attorney
or CPA’s check or money order made payable to the “Secretary of State”. The minimum fee due upon qualification is $175.
Any additional fees will be billed and must be paid before this application can be filed.
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