Free Illinois Limited Liability Company Act Amended Application for Admission - Illinois

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LLC-45.25

July 2005

Illinois Limited Liability Company Act
Amended Application for Admission
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 may 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: $150 Approved:

1.

Limited Liability Company Name:_________________________________________________________________________ ________________________________________________________________________________________________

2.

This amended application is accompanied by a copy of the Articles of Amendment to the Articles of Organization, as evidence of any change, such copy being duly authenticated by the proper officer of the state or country wherein the Limited Liability Company is organized, which certification is not more than 60 days old. If none, so state. Text of Amendment:

3.

4.

I affirm, under penalties of perjury, having authority to sign hereto, that this Amended Application for Admission is to the best of my knowledge and belief, true, correct and complete.

Dated ___________________________________ , __________

.

Month/Day

Year

____________________________________________________
Signature (must comply with Section 5-45 of ILLCA)

____________________________________________________
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.

Printed by authority of the State of Illinois. June 2005 ­2M ­ LLC-5.6