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Illinois
LLC-45.25
Form
Limited Liability Company Act
FILE #
July 2005
Amended Application for Admission
Secretary of State Jesse White
This space for use by Secretary of State.
Department of Business Services
SUBMIT IN DUPLICATE
Limited Liability Division
Must be typewritten
Room 351 Howlett Building
501 S. Second St.
This space for use by Secretary of State.
Springfield, IL 62756
Payment may be made by business
Filing Fee: $150
firm check payable to Secretary of State.
(If check is returned for any reason this
Approved:
filing will be void.)
1.
Limited Liability Company Name:_________________________________________________________________________
________________________________________________________________________________________________
2.
This amended application is accompanied by a copy of the Articles of Amendment to the Articles of Organization,
as evidence of any change, such copy being duly authenticated by the proper officer of the state or country wherein
the Limited Liability Company is organized, which certification is not more than 60 days old. If none, so state.
3.
Text of Amendment:
4.
I affirm, under penalties of perjury, having authority to sign hereto, that this Amended Application for Admission is
to the best of my knowledge and belief, true, correct and complete.
___________________________________ , __________
Dated
Month/Day
Year
.
____________________________________________________
Signature (must comply with Section 5-45 of ILLCA)
____________________________________________________
Name and Title (type or print)
____________________________________________________
If applicant is a company or other entity, state name of company
and indicate whether it is a member or manager of the LLC.
Printed by authority of the State of Illinois. June 2005 –2M – LLC-5.6
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