Free Assumed Name Renewal Application - Illinois

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LLC-1.20

October 2006

Illinois Limited Liability Company Act
Application to Adopt, Change, Cancel or Renew an Assumed Name
Filing Fee - see note on reverse side SUBMIT IN DUPLICATE Must be typewritten
This space for use by Secretary of State.

FILE #
This space for use by Secretary of State.

Secretary of State Jesse White Department of Business Services Limited Liability Division Room 351 Howlett Building 501 S. Second St. Springfield, IL 62756 www.cyberdriveillinois.com Payment must be made by business firm check payable to Secretary of State. (If check is returned for any reason this filing will be void.)

Filing Fee: $ Approved:

1.

Limited Liability Company Name: __________________________________________________________ _____________________________________________________________________________________

2.

State or Country under the laws of which the company is organized: (check one) Illinois (domestic) Foreign (specify): ____________________________

3.

Date organized (if an Illinois Limited Liability Company) or date authorized to transact business in Illinois (if a foreign Limited Liability Company): ____________________________________________________________ TO ADOPT: (a) The Limited Liability Company intends to adopt and transact business under the assumed name of: _________________________________________________________________ (b) The right to use the assumed name shall be effective from the date this application is filed by the Secretary of State until ________________, 20 _____, the first day of the company's anniversary month in the next year, which is evenly divisible by five.

4.

5.

TO CHANGE: (a) The above-named Limited Liability Company intends to cease transacting business under the assumed name of: _____________________________________________________ (b) and to commence transacting business under the new assumed name of: ____________ _______________________________________________________________________

6.

TO CANCEL: The above-named Limited Liability Company intends to cease transacting business under the assumed name of: ___________________________________________________________ TO RENEW: (a) The above-named Limited Liability Company intends to renew the assumed name of: _______________________________________________________________________ (b) The right to use the assumed name shall be effective from the date this application is filed by the Secretary of State until ________________, 20 _____, the first day of the company's anniversary month in the next year, which is evenly divisible by five.

7.

Printed by authority of the State of Illinois. October 2008 -- 1M -- LLC-15.6

LLC-1.20
8. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this Application to Adopt, Change, Cancel or Renew an Assumed Name is to the best of my knowledge and belief, true, correct and complete. Dated ___________________________________, ____________.
Month & Day Signature Name and Title (type or print) If applicant is a company or other entity, state name of company and indicate whether it is a member or manager of the LLC. Year

NOTE: a. An assumed name may be adopted in five-year increments. The right to use an assumed name shall be effective from the date of filing by the Secretary of State until the first day of the anniversary month of the Limited Liability Company that falls within the next calendar year evenly divisible by 5. b. The filing fee to adopt an assumed name is $150 for each year or part thereof ending in 0 or 5; $120 for each year or part thereof ending in 1 or 6; $90 for each year or part thereof ending in 2 or 7; $60 for each year or part thereof ending in 3 or 8; or $30 for each year or part thereof ending in 4 or 9. c. The fee to change an assumed name is $100. d. The fee for canceling an assumed name is $100. e. The fee to renew an assumed name is $150. An assumed name may be renewed 60 days prior to the expiration of the right to use the assumed name, for a period of five years, by making an election to do so at the time of filing the Annual Report and by paying the renewal fees as prescribed by this Act. f. A penalty of $100 will apply to any assumed name renewed on or after the first day of the company's anniversary month. If the assumed name is not renewed within the 60 days commencing with the first day of the company's anniversary month, the right to use the assumed name shall cease.

Printed by authority of the State of Illinois. October 2008 -- 1M -- LLC-15.6