Form LP 109
August 2012
Illinois
Uniform Limited Partnership Act
Application to Reserve Name or
Transfer Reserved Name
Printed on recycled paper. Printed by authority of the State of Illinois. August 2012 — 1 — C LP 27.4
SUBMIT IN DUPLICATE
Please type or print clearly.
Filing Fee: $50
Approved:
State basis of Reservation of Name or Transfer of Reserved Name by checking the appropriate box:
n
A person intending to organize an Illinois limited partnership and adopt the name.
n
A person intending to obtain a Certificate of Authority for a foreign limited partnership.
n
An Illinois or foreign limited partnership intending to adopt the name.
n
A foreign limited partnership intending to adopt the name in order to qualify to transact business in this state.
______________________________
RESERVE NAME
1. Limited Partnership Name to be reserved for a period of 90 days:
_____________________________________________________________________________________
(Must contain the words “Limited Partnership,” “Limited Liability Limited Partnership,” “L.P.,” “LP,” “LLLP” or “L.L.L.P.,”
and cannot contain the words “Company,” “Corporation,” “Incorporated,” “Inc.,” “Co.” or “Corp.”)
2. Applicant Name: ________________________________________________________________________
3. Applicant Address: ______________________________________________________________________
Street Address
_____________________________________________________________________________________
City, State, ZIP
4. The undersigned affirms, under penalties of perjury, that the facts stated herein are true, correct and complete.
Date: ____________________________________
Month, Day, Year
________________________________________
Signature
________________________________________
Name and Title (type or print)
________________________________________
General Partner Name if corporation or other entity
Secretary of State
Department of Business Services
Limited Liability Division
501 S. Second St., Rm. 357
Springfield, IL 62756
217-524-8008
www.cyberdriveillinois.com
This space for use by Secretary of State.
FILE #
Payment may be made by check
payable to Secretary of State. If check
is returned for any reason this filing
will be void.
Please do not send cash.
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TRANSFER RESERVED NAME
The undersigned __________________________________________________________________________
Original Applicant Name
hereby transfers to ________________________________________________________________________
Transferee Name
the right to use the name ___________________________________________________________________
for Limited Partnership purposes in Illinois.
This name was reserved on _________________________________________________________________
Date (month, day, year)
The undersigned affirms, under penalties of perjury, that the facts stated herein are true, correct and complete.
Date: ____________________________________
Month, Day, Year
________________________________________
Signature
________________________________________
Name and Title (type or print)
________________________________________
General Partner Name and Title if a Limited Partnership
________________________________________ __________________________________________
City, State, ZIP, County Name and title (type or print)
Signatures must be in black ink on an original document.
Carbon copy, photocopy or rubber stamp signatures
may only be used on conformed copies.