Illinois > Secretary Of State > Limited Liability Company
Statement Of Change Of Registered Agent And-Or Registered Office LLC-1.36-1.37 - Illinois
| Statement Of Change Of Registered Agent And-Or Registered Office Form. This is a Illinois form and can be used in Limited Liability Company Secretary Of State . |
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Form LLC-1.36/1.37 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 may be made by check payable to Secretary of State. If check is returned for any reason this filing will be void. Illinois Limited Liability Company Act FILE # This space for use by Secretary of State. Statement of Change of Registered Agent and/or Registered Office SUBMITINDUPLICATE Type or print clearly. This space for use by Secretary of State. Filing Fee: $25 Penalty (See Note 1.): Approved: 1. Limited Liability Company Name:____________________________________________________________________ 2. Name and Address of Registered Agent and Registered Office as they appear on the records of the Office of the Secretary of State (before change): Registered Agent: Registered Office: Registered Office: ________________________________________________________________________________ First Name Middle Name Last Name ________________________________________________________________________________ Number Street Suite No. (P.O. Box alone is unacceptable) IL ________________________________________________________________________________ City ZIP Code 3. Name and Address of Registered Agent and Registered Office shall be (after all changes herein reported): Registered Agent: Registered Office: Registered Office: ________________________________________________________________________________ First Name Middle Name Last Name ________________________________________________________________________________ Number Street Suite No. (P.O. Box alone is unacceptable) IL ________________________________________________________________________________ City ZIP Code 4. The address of the registered office and the address of the business office of the registered agent, as changed, will be identical. 5. The above change was authorized by: (check one box only) a. I the members or managers. (See Note 5.) b. I action of the registered agent. (See Note 6.) SEEREVERSEFORSIGNATURE(S). Printed by authority of the State of Illinois. May 2012 -- 1 -- LLC 36.4 American LegalNet, Inc. www.FormsWorkFlow.com LLC-1.36/1.37 6. If the change to the registered agent or registered office is authorized by the members or managers, sign here. (See Note 5 below.) The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this statement to change the registered agent or address 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 the member or manager signing this document is a company or other entity, state name of company and indicate whether it is a member or manager of the Limited Liability Company. If change of registered office by registered agent, sign here. (See Note 6 below.) The undersigned, under penalties of perjury, affirms that the facts stated herein are true, correct and complete. Dated _______________________________, ________________ Month/Day Year ________________________________________________________ Signature of Registered Agent of Record ________________________________________________________ Name and Title (type or print) If registered agent is a corporation, name and title of officer who is signing on its behalf. NOTES 1. A $300 penalty applies when the Limited Liability Company fails to appoint and maintain a registered agent in Illinois within 60 days of notification of the Secretary of State by the resigning registered agent. 2. The registered office may, but need not be, the same as the principal office of the Limited Liability Company; however, the registered office and the office address of the registered agent must be the same. 3. The registered office must include an Illinois street or road address (P.O. Box alone is unacceptable). 4. A Limited Liability Company cannot act as its own registered agent. 5. Any change of registered agent or registered address effected by the Limited Liability Company must be authorized by the members or managers. 6. The registered agent may report a change of the registered office address of the Limited Liability Company for which he/she is a registered agent. When the agent reports such a change, this statement must be signed by the registered agent. If a corporation is acting as the registered agent, a duly authorized officer of the corporation must sign this statement. American LegalNet, Inc. www.FormsWorkFlow.com
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