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Form Llc-45.5 - Limited Liability Company Act Application For Admission To Transact Business Page 2

LLC-45.5

10. The purpose or purposes for which the company is organized and proposes to conduct in this

State: Include the business code # (IRS Form 1065).

11. The limited liability company is managed by:

manager(s)

vested in member(s)

12. The Illinois Secretary of State is hereby appointed the agent of the limited liability company for

service of process under the circumstances set forth in a subsection (b) of Section 1-50 of the

ILLCA.

13. This application is accompanied by a certificate of good standing or existence, as well as

a copy of the articles of organization, as amended, duly authenticated within the last thirty

(30) days, by the officer of the state or country wherein the LLC is formed.

14. If the period of duration is a date certain and is not stated in the Articles of Organization

from the domestic state, a copy of that page from the Operating Agreement stating the date

must also be submitted.

15. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this

application for admission to transact business is to the best of my knowledge and belief, true,

correct and complete.

Dated ____________________ , _______ .

(Month/Day)

(Year)

__________________________________________________

(Signature)

(Signature must comply with Section 5-45 of ILLCA)

__________________________________________________

(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.)

*Please refer to Sections 178.20(d) and (e) of the Administrative Rules

LLC-17.4

Form Llc-45.5 - Limited Liability Company Act Application For Admission To Transact Business Page 2