Illinois > Secretary Of State > Limited Liability Company
Application For Reinstatement Following Administrative Dissolution Or Revocation LLC-35.40-45.65 - Illinois
| Application For Reinstatement Following Administrative Dissolution Or Revocation Form. This is a Illinois form and can be used in Limited Liability Company Secretary Of State . |
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Form LLC-35.40/ 45.65 May 2012 Illinois Limited Liability Company Act Application for Reinstatement Following Administrative Dissolution or Revocation SUBMITINDUPLICATE Typed or Print Clearly This space for use by Secretary of State. FILE # This space for use by Secretary of State. Secretary of State Department of Business Services Limited Liability Division 501 S. Second St., Rm. 351 Springfield, IL 62756 217-524-8008 www.cyberdriveillinois.com Total payment must be made by certified check, cashiers check, Illinois attorneys check, Illinois C.P.A.s check or money order payable to Secretary of State. Filing Fee: $500 Approved: 1. Limited Liability Company Name as of the date of issuance of Notice of Dissolution or Revocation: ______________________________________________________________________________________________ 2. If applicable, New Name of Limited Liability Company (Form LLC 5.25 or LLC 45.25 must accompany this application): ______________________________________________________________________________________________ 3. State of Organization: ____________________________________________________________________________ 4. Date Notice of Dissolution or Revocation issued: __________________________________________________________ 5. Registered Agent: Registered Office: (P.O. Box and c/o are unacceptable) ______________________________________________________________________________ First Name Middle Initial Last Name ______________________________________________________________________________ Number Street Suite # IL ______________________________________________________________________________ City ZIP Code Note: If the Registered Agent and/or Office Address has changed since dissolution or revocation, complete form LLC 1.36/1.37 and submit with this application. This application is accompanied by all amendments necessary to change, add or remove an existing provision, by all delinquent reports, information requirements and registrations due and therefore becoming due, together with all fees and penalties required. I affirm under penalties of perjury, having authority to sign hereto, that this application for reinstatement is to the best of my knowledge and belief, true, correct and complete. Dated: ___________________________, ______________ Month/Day Year ________________________________________________ Signature ________________________________________________ Name and Title (type or print) ________________________________________________ If applicant is a company or other entity, state Name of Company and whether it is a member or manager of the LLC. Printed by authority of the State of Illinois. May 2012 -- 1 -- LLC 8.9 American LegalNet, Inc. www.FormsWorkFlow.com
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