Illinois > Secretary Of State > Limited Liability Company
Application For Admission To Transact Business LLC-45.5 - Illinois
| Application For Admission To Transact Business Form. This is a Illinois form and can be used in Limited Liability Company Secretary Of State . |
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Form May 2012 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 Payment must be made by certified check, cashiers check, Illinois attorneys check, C.P.A.s check or money order payable to Secretary of State. LLC-45.5 Illinois Limited Liability Company Act FILE # This space for use by Secretary of State. Application for Admission to Transact Business SUBMITINDUPLICATE Type or Print Clearly. This space for use by Secretary of State. Filing Fee: $500 Penalty: Approved: $ 1. Limited Liability Company Name: _______________________________________________________________________________ 2. Assumed Name: ____________________________________________________________________________________________ (This item is only applicable if the company name in item 1 is not available for use in IIlinois, in which case form LLC 1.20 must be completed and submitted with this application.) 3. Jurisdiction of Organization: __________________________________________________________________________________ 4. Date of Organization: ________________________________________________________________________________________ 5. Period of Duration: __________________________________________________________________________________________ (Enter Perpetual unless there is a Date of Dissolution provided in the agreement, in which case enter that date.) 6. Address 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 7. Registered Agent: ___________________________________________________________________________________________ First Name Middle Name Last Name Registered Office: ___________________________________________________________________________________________ (P.O. Box alone or c/o is unacceptable.) Number Street Suite # Illinois ___________________________________________________________________________________________ City Zip Code 8. If applicable, Date on which Company first conducted business in Illinois: _______________________________________________ (continued on back) Printed by authority of the State of Illinois. May 2012 -- 1 -- LLC 17.13 American LegalNet, Inc. www.FormsWorkFlow.com LLC-45.5 9. Purpose(s) for which the Company is Organized and Proposes to Conduct Business in Illinois: ______________________________ _________________________________________________________________________________________________________ __________________________________________________________________________________________________________ _________________________________________________________________________________________________________ 10. The Limited Liability Company: (check one) a. I is managed by the manager(s) (List names and addresses.) _________________________________________________________________________________________________________ __________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ b. I has management vested in the members(s) (List names and addresses.) _________________________________________________________________________________________________________ __________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ 11. The Illinois Secretary of State is hereby appointed the agent of the Limited Liability Company for service of process under circumstances set forth in subsection (b) of Section 1-50 of the Illinois Limited Liability Company Act. 12. This application is accompanied by a Certificate of Good Standing or Existence, duly authenticated within the last 60 days, by the officer of the state or county wherein the LLC is formed. 13. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this application for admission to transact business 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 signing for a Company or other Entity, state Name of Company and indicate whether it is a member or manager of the LLC. American LegalNet, Inc. www.FormsWorkFlow.com
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