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LLC-35.15
Illinois
FILE #
Form
Limited Liability Company Act
This space for use by Secretary of State.
May 2012
Secretary of State
Articles of Dissolution
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:
$100
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. Address to which a copy of any process against the Limited Liability Company that may be served on the Secretary of
State may be mailed:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
3. All debts, obligations and liabilities of the Limited Liability Company have been paid and discharged or adequate provision
has been made therefor.
4. All remaining property and assets of the Limited Liability Company have been distributed among the members in accor-
dance with their respective rights and interest.
5. There are no suits pending against the company in any court or that adequate provision has been made for the satisfac-
tion of any judgment, order or decree that may be entered against it in any pending suit.
6. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that these Articles of Dissolution are to
the best of my knowledge and belief, true, correct and complete.
Dated
_________________________________, _______________
Month & Day
Year
______________________________________________________________
Signature
______________________________________________________________
Name and Title (type or print)
______________________________________________________________
RETURN TO: (Please type or print clearly.)
Name if a Company or other Entity
and whether a member or manager of the LLC.
_____________________________________________
Name
_____________________________________________
Street
_____________________________________________
City, State, ZIP Code
Printed by authority of the State of Illinois. May 2012 — 1 — LLC 9.6