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Illinois
LLC-1.20
Secretary of State
Form
Limited Liability Company Act
March 2002
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a. Application to Adopt an Assumed Name
Jesse White
b. Application to Change An Assumed Name
Secretary of State
c. Application to Cancel An Assumed Name
Department of Business Services
Filing Fee: (see note)
Limited Liability Company Division
Submit in Duplicate
Room 351, Howlett Building
Must be typewritten
Springfield, IL 62756
This space for use by Secretary of State
Date
Payment may be made by business
Assigned File #
firm check payable to Secretary of
Filing Fee
$
State. (If check is returned for any
reason this filing will be void.)
Approved:
1.
Limited Liability Company name:
2.
File number assigned by the Secretary of State:
3.
Federal Employer Identification Number (F.E.I.N.):
4.
The state or country under the laws of which the limited liability company is organized is: (check one)
Illinois (domestic)
Foreign (specify):
5.
Date organized (if an Illinois limited liability company) or date authorized to transact business in Illinois (if a
foreign limited liability company):
6.
The limited liability company intends to adopt and to transact business under the assumed name of:
7.
The right to use the assumed name shall be effective from the date this application is filed by the Secretary of
State until ________________, 20 _____, the first day of the limited liability company's anniversary month in
the next year which is evenly divisible by five.
8.
TO CHANGE: (a) The above-named limited liability company intends to cease transacting business under the
assumed name of:
(b) and to commence transacting business under the new assumed name:
9.
TO CANCEL: The above-named limited liability company intends to cease transacting business under the
assumed name of:
LLC-15.4