Form Llc-1.20 - Illinois Limited Liability Company Act - Illinois Secretary Of State Page 2
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2LLC-1.20
10. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this application to adopt,
change, or cancel an assumed name is to the best of my knowledge and belief, true, correct and complete.
Dated _________________________________________, ____.
(Month & Day)
(Year)
(Signature)
(Type or print Name and Title)
(If applicant is a company or other entity, state name of company
and indicate whether it is a member or manager of the LLC.)
NOTE: a. An assumed name may be adopted in 5 year increments. The right to use an assumed name shall be
effective from the date of filing by the Secretary of State until the first day of the anniversary month of the
limited liability company that falls within the next calendar year evenly divisible by 5.
b. The filing fee to adopt an assumed name is $150 for each year or part thereof ending in 0 or 5, $120 for
each year or part thereof ending in 1 or 6, $90 for each year or part thereof ending in 2 or 7, $60 for each
year of part thereof ending in 3 or 8, $30 for each year or part thereof ending in 4 or 9.
c The fee to change an assumed name is $100.
c The fee for canceling an assumed name is $100.
e. An assumed name may be renewed 60 days prior to the expiration of the right to use the assumed name,
for a period of 5 years, by making an election to do so at the time of filing its annual report and by paying
the renewal fees as prescribed by this Act.
LLC-15.4
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