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Illinois
LLC-1.20
Form
Limited Liability Company Act
FILE #
October 2006
Application to Adopt, Change, Cancel
Secretary of State Jesse White
or Renew an Assumed Name
This space for use by Secretary of State.
Department of Business Services
Limited Liability Division
Filing Fee - see note on reverse side
Room 351 Howlett Building
SUBMIT IN DUPLICATE
501 S. Second St.
Must be typewritten
Springfield, IL 62756
This space for use by Secretary of State.
Payment must be made by business
Filing Fee: $
firm check payable to Secretary of
State. (If check is returned for any
Approved:
reason this filing will be void.)
1.
Limited Liability Company Name: __________________________________________________________
_____________________________________________________________________________________
2.
State or Country under the laws of which the company is organized: (check one)
❒ Illinois (domestic)
❒ Foreign (specify): ____________________________
3.
Date organized (if an Illinois Limited Liability Company) or date authorized to transact business in Illinois (if a
foreign Limited Liability Company): ____________________________________________________________
4.
TO ADOPT:
(a) The Limited Liability Company intends to adopt and transact business under the assumed
name of: _________________________________________________________________
(b) 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 company's
anniversary month in the next year, which is evenly divisible by five.
5.
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 of: ____________
_______________________________________________________________________
6.
TO CANCEL: The above-named Limited Liability Company intends to cease transacting business under the
assumed name of: ___________________________________________________________
7.
TO RENEW:
(a) The above-named Limited Liability Company intends to renew the assumed name of:
_______________________________________________________________________
(b) 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 company's
anniversary month in the next year, which is evenly divisible by five.
Printed by authority of the State of Illinois. October 2008 — 1M — LLC-15.6