Form Llc-45.5(S) - Application For Admission To Transact Business
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2LLC-45.5(S)
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Illinois
FILE #
Limited Liability Company Act
Form
Application for Admission
This space for use by Secretary of State.
May 2012
to Transact Business
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
This space for use by Secretary of State.
Filing Fee: $750
Payment must be made by certified
Penalty:
$
check, cashier’s check, Illinois attorney’s
Approved:
check, C.P.A.’s check or money order
payable to Secretary of State.
1. Limited Liability Company Name: _______________________________________________________________________________
2. Assumed Name: ___________________________________________________________________________________________(
This item is only applicable if the company name in Item 1 is not available for use in Illinois, in which case form LLC-1.20 must
be completed and submitted with this application.
3. Jurisdiction of Organization:___________________________________________________________________________________
4. Date of Organization: ________________________________________________________________________________________
5. Period of Duration:__________________________________________________________________________________________
Enter “Perpetual” unless there is a date of dissolution provided in the agreement, in which case enter that date.
6. Address of the Office required to be maintained in the jurisdiction of its organization or, if not required, of the Principal Place of
Business: (P.O. Box alone or c/o is unacceptable.)
__________________________________________________________________________________________________________
Number
Street
Suite #
__________________________________________________________________________________________________________
City/State
ZIP Code
7. Registered Agent: __________________________________________________________________________________________
Middle Initial
Last Name
First Name
Registered Office: ___________________________________________________________________________________________
Number
Street
Suite #
(P.O. Box alone or c/o is
unacceptable.)
IL
_________________________________________________________________________________________________________
City
ZIP Code
Note: The registered agent must reside in Illinois. If the agent is a business entity, it must be authorized to act as agent in this state.
8. If applicable, Date on which the Company first conducted business in Illinois: ___________________________________________
Month, Day, Year
(continued on back)
Printed by authority of the State of Illinois. July 2014 — 1 — LLC 39.8
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Parent category: Business