1
.
Li
m
i
ted Li
abi
l
i
ty
Com
pany
nam
e:
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2
.
S
tate or
c
ountr
y
of or
gani
z
ati
on:
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3
.
D
a
te
o
f o
r
g
a
n
i
z
a
ti
o
n
:
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4
.
Br
ie
f sta
te
me
n
t o
f th
e
b
u
s
in
e
s
s
in
w
h
ic
h
th
e
co
mp
a
n
y
is
e
n
g
a
g
e
d
o
r
p
la
n
s
to
e
n
g
a
g
e
:
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5
.
Po
st o
ffice
a
d
d
r
e
s
s
to
w
h
ic
h
ma
y
b
e
ma
ile
d
n
o
tic
e
s
b
y th
e
Se
c
r
e
ta
r
y
o
f Sta
te
:
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6
.
Th
e
L
imit
e
d
L
ia
b
ilit
y
C
o
mp
a
n
y
d
e
s
ire
s
t
o
re
g
is
t
e
r it
s
n
a
me
p
u
rs
u
a
n
t
t
o
Se
c
t
io
n
4
5
-2
0
,
a
n
d
it
is
N
OT t
ra
n
s
a
c
t
in
g
b
u
s
in
e
s
s
in
th
e
Sta
te
o
f Illin
o
is.
7
.
Th
is a
p
p
lic
a
tio
n
mu
st b
e
a
c
co
mp
a
n
ie
d
b
y
a
C
e
r
tific
a
te
o
f G
o
o
d
Sta
n
d
in
g
o
r
Ex
is
te
n
c
e
n
o
t mo
r
e
th
a
n
3
0
d
a
y
s
o
ld
a
n
d
d
u
ly
a
u
th
o
r
ize
d
b
y th
e
p
r
o
p
e
r
o
ffic
e
r
o
f th
e
s
ta
te
o
r
c
o
u
n
tr
y
w
h
e
r
e
th
e
L
L
C
is
o
r
g
a
n
ize
d
.
8
.
Th
e
r
e
g
is
tr
a
tio
n
w
ill e
x
p
ir
e
n
e
x
t y
e
a
r
o
n
th
e
fir
st d
a
y
o
f th
e
1
2
t
h
mo
n
th
in
w
h
ich
th
e
o
r
ig
in
a
l r
e
g
is
tr
a
tio
n
w
a
s file
d
. Th
e
r
e
g
is
tr
a
tio
n
ma
y
b
e
r
e
n
e
w
e
d
b
y
filin
g
fo
r
m L
L
C
-
4
5
.2
0
w
ith
in
th
e
6
0
d
a
ys
p
r
io
r
to
th
a
t d
a
te
.
If applic
able, a c
ancellation of regis
tered name shall be effective upon filing with the Secretary of State.
The unders
igned af
firms
, under penalties of perjury, having authority to sign hereto, that this application is to the best of
my knowledge and belief, true, correct and complete.
Dated: _________________________________________, _________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Form LLC-45.20
July 2017
Illinois
Limited Liability Company Act
a. Application for Registration of Name
b
. Renewal of Registered Name
c. Cancellation of Registered Name
(Circle one)
Filing Fee: a) $50 b) $50 c) $5
Approved:
Month/Day
Year
Signature
Name and Title (type or print)
If applicant is a company or other entity, state name of company.
Printed by authority of the State of Illinois. December 2017 — 1 LLC 6.7
SUBMIT IN DUPLICATE
Typed or print clearly.
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 may be made by check
payable to Secretary of State. If check
is returned for any reason this filing
w
ill be void.
This space for use by Secretary of State.
F
ILE #
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