Form Llc-45.5 - Application For Admission To Transact Business
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1
2Illinois
LLC-45.5
Form
Limited Liability Company Act
FILE #
December 2004
Application for Admission to Transact Business
Secretary of State Jesse White
This space for use by Secretary of State.
Department of Business Services
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SUBMIT IN DUPLICATE
Limited Liability Division
Must be typewritten
Room 351 Howlett Building
501 S. Second St.
This space for use by Secretary of State.
Springfield, IL 62756
Filing Fee:
$ 500
Payment must be made by certified
Penalty:
$
check, cashier's check, Illinois
attorney's C.P.A.'s check or money
Approved:
order payable to Secretary of State.
1.
Limited Liability Company name:___________________________________________________________________
Must comply with Section 1-10 of ILLCA or item 2 below applies.
2.
Assumed name, other than the true company name, under which the company proposes to transact business in Illinois:
_____________________________________________________________________________________________
If applicable, form LLC-1.20, Application to Adopt an Assumed Name, must be completed and attached to this application.
3.
Jurisdiction of organization:_______________________________________________________________________
4.
Date of organization:_____________________________________________________________________________
5.
Period of duration:_______________________________________________________________________________
6.
Address, including county, of the office required to be maintained in the jurisdiction of its organization or, if not required,
of the principal place of business (P.O. Box alone or c/o is unacceptable):
_____________________________________________________________________________________________
Number
Street
Suite #
_____________________________________________________________________________________________
City/State
ZIP Code
County
7.
Registered agent:_______________________________________________________________________________
First Name
Middle Name
Last Name
Registered office:________________________________________________________________________________
Number
Street
Suite #
(P.O. Box alone or
c/o is unacceptable.)
Illinois
_______________________________________________________________________________
City
County
ZIP Code
8.
If applicable, date on which the company first did business in Illinois: __________________________________
(continued on back page)
Printed by authority of the State of Illinois. February 2005 –10M – LLC-17.6
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