Form Llc-45.5 - Limited Liability Company Act Application For Admission To Transact Business
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1
2This space for use by
Illinois
LLC-45.5
Secretary of State
Form
Limited Liability Company Act
January 1999
Application for Admission to Transact Business
Jesse White
Secretary of State
Department of Business Services
Submit in Duplicate
Limited Liability Company Division
Must be typewritten
Room 359, Howlett Building
This space for use by Secretary of State
Springfield, IL 62756
Date
Assigned File #
Payment must be made by certified
Filing Fee
$400
check, cashier's check, Illinois
Penalty
$
attorney's C.P.A.'s check or money or-
Approved:
$
der, payable to "Secretary of State."
1.Limited Liability Company name:______________________________________________________
(Must comply with Section 1-10 of ILLCA or article 2 below applies.)
2.
The assumed name, other than the true company name, under which the LLC proposes to transact
business in Illinois is: _____________________________________________________________
(If applicable, a form LLC-1.20, Application to Adopt an Assumed Name, is required to be completed and attached to this
application.)
3.
Federal Employer Identification Number (F.E.I.N.):______________________________________
4.
Jurisdiction of Organization:________________________________________________________
5.
Date of Organization:_____________________________________________________________
6.
Period of Duration:_______________________________________________________________
(See #14 on back)
7.
The address, including county, of the office required to be maintained in the jurisdiction of its
organization, or if not required, of the principal place of business (Post office box alone and c/o are
unacceptable):
______________________________________________________________________________
(Number)
(Street)
(Suite)
______________________________________________________________________________
(City/State)
(ZIP Code)
(County)
8.
Registered agent:________________________________________________________________
(First Name)
(Middle Name)
(Last Name)
Registered Office:________________________________________________________________
(Number)
(Street)
(Suite #)
Illinois
(P.O. Box or c/o _______________________________________________________________
(City)
(County)
(ZIP Code)
are unacceptable)
9.
The date on which this foreign LLC first did business in Illinois: _________________________
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