1.
Limited Liability Company Name: _______________________________________________________________________________
2.
Assumed Name: ____________________________________________________________________________________________
3.
Jurisdiction of Organization: __________________________________________________________________________________
4.
Date of Organization: ________________________________________________________________________________________
5.
Period of Duration: __________________________________________________________________________________________
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 #
___________________________________________________________________________________________
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 Company first conducted business in Illinois: _______________________________________________
Form
LLC-45.5
May 2012
Printed by authority of the State of Illinois. July 2014 — 1 — LLC 17.17
(P.O. Box alone or c/o
is unacceptable.)
IL
(continued on back)
T
his space for use by Secretary of State.
Filing Fee: $500
P
enalty: $
Approved:
SUBMIT IN DUPLICATE
Type or Print Clearly.
Illinois
Limited Liability Company Act
Application for Admission to
Transact Business
(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.)
(Enter Perpetual unless there is a Date of Dissolution provided in the agreement, in which case enter that date.)
S
ecretary of State
Department of Business Services
Limited Liability Division
501 S. Second St., Rm. 351
Springfield, IL 62756
2
17-524-8008
www.cyberdriveillinois.com
Payment must be made by certified
check, cashier’s check, Illinois attorney’s
check, C.P.A.’s check or money order
p
ayable to Secretary of State.
This space for use by Secretary of State.
F
ILE #