Form Llc-1.15 - Application To Reserve A Name / Transfer Of Reserved Name/ Cancellation Of Reserved Name

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Illinois
LLC-1.15
Form
Limited Liability Company Act
FILE #
a) Application to Reserve a Name
November 2008
This space for use by
b) Transfer of Reserved Name
Secretary of State.
Secretary of State Jesse White
Department of Business Services
c) Cancellation of Reserved Name
Limited Liability Company Division
501 S. Second St., Rm. 351
Submit in Duplicate
Springfield, IL 62756
217-524-8008
Must be typewritten.
This space for use by Secretary of State.
Payment may be made by business
Date:
firm check payable to Secretary of
Filing Fee: a) $300
b) $100
c) $100
State. If check is returned for any
reason this filing will be void.
Approved:
APPLICATION TO RESERVE A NAME
1.
Limited Liability Company Name to be reserved:
The LLC name must contain the words “Limited Liability Company”, L.L.C. or LLC and cannot contain the terms Corporation, Corp., Incorporated,
Inc., Ltd., Co., Limited Partnership, or L.P.
2.
Name of Applicant:
3.
Address of Applicant:
4.
Pursuant to the provisions of Article 1, Section 1-15 of the Illinois Limited Liability Company Act, the undersigned hereby
applies for reservation of the above listed Limited Liability Company name for a period of 90 days. Applicant understands
that the filing of this document is optional and that, once filed, it does not establish a Limited Liability Company.
Dated ________________________ , ______
Month & Day
Year
Signature of Applicant
Name and Title (type or print)
If applicant is a Company or other Entity, state Name of Company.
NOTICE OF TRANSFER OF RESERVED NAME
The undersigned ___________________________________ hereby transfers to _________________________________
Name of Original Applicant
Name of Transferee
_____________________________________ the right to use the name _________________________________ for LLC
Address of Transferee
purposes in Illinois. This name was reserved on ____________________________ , _______ .
Month & Day
Year
The undersigned affirms, under penalties of perjury, that the facts stated herein are true.
Dated ____________________________ , _____
Month & Day
Year
Signature of Original Applicant
Name and Title (type or print)
If applicant is a Company or other Entity, state Name of Company.
Printed by authority of the State of Illinois. November 2008 — 1 — LLC-16.5

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