Free Transfer of Reserved Name - Illinois

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LLC-1.15

Illinois Limited Liability Company Act

FILE #
This space for use by Secretary of State.

November 2008

Secretary of State Jesse White Department of Business Services Limited Liability Company Division 501 S. Second St., Rm. 351 Springfield, IL 62756 217-524-8008 www.cyberdriveillinois.com Payment may be made by business firm check payable to Secretary of State. If check is returned for any reason this filing will be void.

a) Application to Reserve a Name b) Transfer of Reserved Name c) Cancellation of Reserved Name
Submit in Duplicate
Must be typewritten.
This space for use by Secretary of State.

Date: Filing Fee: a) $300 Approved: b) $100 c) $100

APPLICATION TO RESERVE A NAME
1. Limited Liability Company Name to be reserved:

The LLC name must contain the words "Limited Liability Company", L.L.C. or LLC and cannot contain the terms Corporation, Corp., Incorporated, Inc., Ltd., Co., Limited Partnership, or L.P.

2. 3. 4.

Name of Applicant: Address of Applicant: Pursuant to the provisions of Article 1, Section 1-15 of the Illinois Limited Liability Company Act, the undersigned hereby applies for reservation of the above listed Limited Liability Company name for a period of 90 days. Applicant understands that the filing of this document is optional and that, once filed, it does not establish a Limited Liability Company. Dated ________________________ , ______
Month & Day Year Signature of Applicant Name and Title (type or print) If applicant is a Company or other Entity, state Name of Company.

NOTICE OF TRANSFER OF RESERVED NAME
The undersigned ___________________________________ hereby transfers to _________________________________
Name of Original Applicant Address of Transferee Name of Transferee

_____________________________________ the right to use the name _________________________________ for LLC purposes in Illinois. This name was reserved on ____________________________ , _______ .
Month & Day Year

The undersigned affirms, under penalties of perjury, that the facts stated herein are true. Dated ____________________________ , _____
Month & Day Year Signature of Original Applicant Name and Title (type or print) If applicant is a Company or other Entity, state Name of Company.

Printed by authority of the State of Illinois. November 2008 -- 1 -- LLC-16.5

NOTICE OF CANCELLATION OF RESERVED NAME
The undersigned _____________________________________________________________________ hereby voluntarily
Name of Original Applicant

cancels the right to use the name __________________________________________________________________ for LLC purposes in Illinois. This name was reserved on _______________________________ , _______ .
Month & Day Year

I affirm, under penalties of perjury, that the facts stated herein are true, correct and complete. Dated ____________________________ , _____
Month & Day Year Signature of Original Applicant Name and Title (type or print) If applicant is a Company or other Entity, state Name of Company.

Printed by authority of the State of Illinois. November 2008 -- 1 -- LLC-16.5