Form Llc-45.25 - Amended Application For Admission
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Illinois
FILE #
LLC-45.25
Form
Limited Liability Company Act
This space for use by Secretary of State.
May 2012
Amended Application for Admission
Secretary of State
Department of Business Services
Limited Liability Division
SUBMIT IN DUPLICATE
501 S. Second St., Rm. 351
Type or print clearly.
Springfield, IL 62756
217-524-8008
Filing Fee: $150
Payment may be made by check
Approved:
payable to Secretary of State. If
check is returned for any reason this
filing will be void.
1. Limited Liability Company name: _______________________________________________________________________________
2. If required by this office this amended application is accompanied by a Certificate of Good Standing, a Certificate of Fact, or a copy
of the Articles of Amendment to the Articles of Organization, as evidence of any change, such document being duly authenticated
by the proper officer of the state or country wherein the Limited Liability Company is organized, which certification is not more than
60 days old.
3. Application for Admission is amended as follows (check applicable item(s) below):
a)
Admission of a new manager (give name and address below)*
b)
Withdrawal of manager (give name below)
c)
Change in address of the principal place of business (give new address below, a P.O. Box alone or C/O is unacceptable)
d)
Change of registered agent and/or registered agent's office (give new name and/or address below;
address change to P.O. Box alone or C/O is unacceptable)
e)
Change in the Limited Liability Company's name (give new name below) (evidence required)
f)
Change in date of duration
g)
Change in management structure (state change below)
h)
Establish authority to issue series (fee $400) (evidence required)
i)
Other (give information in space below)
* Only managers and any member with the authority are required to be reported.
Additional information:
4. I affirm, under penalties of perjury, having authority to sign hereto, that this Amended Application for Admission is to the best of my
knowledge and belief, true, correct and complete.
Dated: _________________________________________, _________________
Month/Day
Year
_________________________________________________________________
Signature
_________________________________________________________________
Name and Title (type or print)
_________________________________________________________________
If applicant is signing for a company or other entity, state name of company or entity.
Printed by authority of the State of Illinois. June 2017 — 1 — LLC 5.12
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