Free Application for Amended Authority to Transact Business in Illinois - Illinois

File Size: 141.8 kB
Pages: 1
Date: November 19, 2003
File Format: PDF
State: Illinois
Category: Corporations
Author: Department of Business Services
Word Count: 372 Words, 2,577 Characters
Page Size: Letter (8 1/2" x 11")

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FORM BCA 13.40 (rev. Dec. 2003) APPLICATION FOR AMENDED AUTHORITY TO TRANSACT BUSINESS IN ILLINOIS Business Corporation Act Jesse White, Secretary of State Department of Business Services Springfield, IL 62756 Telephone (217) 782-6961 Remit payment in the form of a check or money order payable to the Secretary of State. _______________________ ______________ File #_________________________________ Filing Fee: $25.00 Approved:



--------------------Submit in duplicate --------------Type or Print clearly in black ink--------------Do not write above this line--------------------


(a) (b) (c)

CORPORATE NAME: If changed, NEW CORPORATE NAME: (Complete only if the new corporate name is not available in this state.) ASSUMED CORPORATE NAME: (By electing this assumed name, the corporation hereby agrees NOT to use its corporate name in the transaction of business in Illinois. Form BCA 4.15 is attached.)


(a) State or Country of Incorporation:

(b) If changed, Period of Duration:


If changed, Purpose or Purposes proposed to be pursued in transacting business in this State: (If not sufficient space to cover this point, use reverse side or add one or more sheets of this size.)


This application is accompanied by a copy of the articles of Amendment to the Articles of Incorporation, if any, as evidence of any change of name, duration or purpose reported herein, such copy being duly authenticated by the proper officer of the state or country wherein the corporation is incorporated, which certification is not more than ninety (90) days old. The filing fee for the certified copy of the Articles of Amendment is $50 unless the amendment acts as a restatement of the Articles of Incorporation, in which case the filing fee is $150. In the event the statutory change was effected in a merger, a certified copy of the merger is required, plus applicable fee. The fees outlined in this paragraph are in addition to the $25 filing fee in the upper right hand corner of this form.


The undersigned corporation has caused this application to be signed by a duly authorized officer who affirms, under penalties of perjury, that the facts stated herein are true. (All signatures must be in BLACK INK.) ______________________________________________ (Exact Name of Corporation)

Dated __________________________________, ________ (Month/Day) (Year) ___________________________________________ (Any Authorized Officer's Signature)

(Type or Print Name and Title)