Illinois > Secretary Of State > Limited Liability Company
LLC Annual Report LLC-50.1 - Illinois
| LLC Annual Report Form. This is a Illinois form and can be used in Limited Liability Company Secretary Of State . |
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Form LLC-50.1 May 2012 Illinois Limited Liability Company Act Annual Report SUBMITINDUPLICATE Type or Print Clearly. This space for use by Secretary of State. FILE # File prior to: 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 Payment may be made by check payable to Secretary of State. If check is returned for any reason this filing will be void. Filing Fee: $250 Penalty: Total: Approved: 1. Limited Liability Company Name:____________________________________________________________________ Registered Agent:________________________________________________________________________________ Registered Office: ________________________________________________________IL______________________ Number Street Suite Zip 2. State or Country of Organization: ________________________ Date Organized in or Admitted to Illinois: _____________ 3. Address of Principal Place of Business: (P.O. Box alone is unacceptable.) _______________________________________________________________________________________________ Number Street Suite City, State Zip 4. Names and Addresses of Managers or Members: Select One: Name Number & Street City, State Zip MGR/MBR ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ 5. Entity managers/members affirm their current existence. 6. Changes to the registered agent and/or registered office must be submitted on Form LLC-1.36/1.37. 7. I affirm, under penalties of perjury, having authority to sign thereto, that this Annual Report is to the best of my knowledge and belief, true, correct and complete. This report must be submitted to the Office of the Secretary of State prior to the anniversary date to avoid late filing, penalty or eventual dissolution or revocation. A late filing penalty of $300 will apply if this report is not filed within 60 days after the due date. 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 a member or manager of the LLC. Printed by authority of the State of Illinois. May 2012 -- 1 -- LLC 23.9 American LegalNet, Inc. www.FormsWorkFlow.com
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