Form Llc-1.50 - Affidavit Of Compliance For Service On Secretary Of State
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Illinois
LLC-1.50
Form
Limited Liability Company Act
FILE #
November 2008
Affidavit of Compliance for
This space for use by
Secretary of State.
Secretary of State Jesse White
Service on Secretary of State
Department of Business Services
Limited Liability Company Division
501 S. Second St., Rm. 351
Submit in Duplicate
Springfield, IL 62756
Must be typewritten.
217-524-8008
This space for use by Secretary of State.
Date:
Payment may be made by business
Filing Fee: $100
firm check payable to Secretary of
State. If check is returned for any
Approved:
reason this filing will be void.
1. Name of Limited Liability Company being served: _____________________________________________________
____________________________________________________________________________________________
2. Title of Case and Case Number:
__________________________________
First Named Plaintiff
v.
Number: __________________________
__________________________________
First Named Defendant
3. Title of Court in which an action, suit or proceeding has been commenced: _________________________________
4. Title of Instrument being served:__________________________________________________________________ .
5. A Copy of the Process, Notice or Demand, together with any papers required by law to be delivered with service, are
hereby attached.
6. Address to which the undersigned has caused a copy of the attached Process, Notice or Demand to be sent by certified
or registered mail: _____________________________________________________________________________
____________________________________________________________________________________________
7. Basis for service on the Secretary of State (check and complete appropriate box):
❏
a. The Limited Liability Company's registered agent cannot with reasonable diligence be found at the registered
office in Illinois.
❏
b. The Limited Liability Company has failed to appoint and maintain a registered agent in Illinois.
❏
c. The Limited Liability Company was dissolved on _________ , _____ ; the conditions of paragraphs (a) and (b)
Month & Day
Year
above exist; and the action, suit or proceeding has been instituted or has affected the Limited Liability Company
within 5 years thereafter.
❏
d. The Limited Liability Company's application for admission to transact business in Illinois has been withdrawn or
revoked on _________ , _____ .
Month & Day
Year
❏
e. The Limited Liability Company is a Foreign Limited Liability Company which has transacted business in Illinois
without having lawfully been admitted to do so, contrary to the provisions of the Illinois Limited Liability
Company Act of 1992.
(continued on back)
Printed by authority of the State of Illinois. November 2008 — 1 — LLC-13.4
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