DO NOT STAPLE
Form LP 108.5 January 2008
Filing Fee: $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; $30 for each year or part thereof ending in 4 or 9; $50 to cancel or change an assumed name. Submit in duplicate. Payment must be made by certified check, cashier's check, Illinois attorney's check, Illinois C.P .A.'s check or money order, payable to Secretary of State. Please do not send cash. Department of Business Services Limited Liability Division 501 S. Second St., Rm. 357 Springfield, IL 62756 217-785-8960 www.cyberdriveillinois.com Correspondence regarding this filing will be sent to the registered agent of the Limited Partnership unless a self-addressed, stamped envelope is included.
Illinois Secretary of State Department of Business Services
Application to Adopt, Change or Cancel an Assumed Name (Illinois or Foreign Limited Partnership or LLLP)
Please type or print clearly. 1. Limited Partnership Name: ____________________________________________________________________________________________________________________________ 2. File Number assigned by Secretary of State: __________________________________________________________________________ 3. Federal Employer Identification Number (F.E.I.N.): ____________________________________________________________________ 4. State or other Jurisdiction under the laws of which the Limited Partnership is formed (check one): Illinois (domestic) Foreign (specify) ______________________________________________________________________________________ 5. To Adopt -- The above-named Limited Partnership intends to adopt and transact business under the Assumed Name of:______________________________________________________________________________________________________ 6. To Change -- The above-named Limited Partnership intends to cease transacting business under the Assumed Name of:______________________________________________________________________________________________________ and to commence transacting business under the new Assumed Name of: __________________________________________________ ________________________________________________________________________________________________________________________________________ 7. To Cancel -- The above-named Limited Partnership intends to cease transacting business under the Assumed Name of:______________________________________________________________________________________________________ The undersigned affirms, under penalties of perjury, that the facts stated herein are true. One General Partner must sign the application to adopt, change or cancel an assumed name.
Name and Title (type or print)
General Partner Name if a corporation or other entity
Signatures must be in black ink on an original document. Carbon copy, photocopy or rubber stamp signatures may only be used on conformed copies.
Printed by authority of the State of Illinois. April 2008 -- 200 -- C LP 8.8