Form Llc-45.5 - Application For Admission To Transact Business - 2012
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Illinois
FILE #
LLC-45.5
Form
Limited Liability Company Act
This space for use by Secretary of State.
May 2012
Application for Admission to
Secretary of State
Transact Business
Department of Business Services
Limited Liability Division
501 S. Second St., Rm. 351
SUBMIT IN DUPLICATE
Springfield, IL 62756
Type or Print Clearly.
217-524-8008
This space for use by Secretary of State.
Payment must be made by certified
Filing Fee: $500
check, cashier’s check, Illinois attorney’s
Penalty:
$
check, C.P.A.’s check or money order
Approved:
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 IIlinois, 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 Principal Place of Business: (P.O. Box alone or c/o is unacceptable.)
_________________________________________________________________________________________________________
Number
Street
Suite #
_________________________________________________________________________________________________________
City
State
ZIP Code
7. Registered Agent: ___________________________________________________________________________________________
First Name
Middle Name
Last Name
Registered Office: ___________________________________________________________________________________________
Number
Street
Suite #
(P.O. Box alone or c/o
___________________________________________________________________________________________
is unacceptable.)
City
Zip Code
IL
8. If applicable, Date on which Company first conducted business in Illinois: _______________________________________________
(continued on back)
Printed by authority of the State of Illinois.
— 1 — LLC 17.15
October 2013
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