Illinois LLC Reinstatement Form

In the case of a dissolved limited liability company that has been previously registered in the State of Ilinois wanting to return back in good standing and resume its business operations in the state, the following form has to be completed and submitted. A $500 filing fee has to be submitted along with this form.

Extracted Text for Proper Search

1. Lim it e d L ia bilit y  C om pany N am e a s o f th e d ate  o f is su ance  o f N otic e  
o f D is so lu tio n o r R evo ca tio n:
______________________________________________________________________________________________
2. If a pplic a ble , N ew  N am e o f L im it e d L ia bili
t y  C om pany ( F orm 
  L LC  5 .2 5 o r
  L LC  4 5.2 5 m ust a cco m pany th is  a pplic a tio n):
______________________________________________________________________________________________
\f . Sta te  o f O rg aniz a tio n: ____________________________________________________________________________
4. Date  N otic e  o f D is so lu tio n o r R evo ca tio n  is su ed : __________________________________________________________
5. Regis te re d  A gent: ______________________________________________________________________________	
Fir s t  N am e Mid dle  In 
i t ia l Last  N am e	
Regis te re d  O ff ic e : ______________________________________________________________________________
(P .O . B ox a nd	
N um be r Str e et Suit e  #	
c \bo  a re  u na cc e p ta ble ) ______________________________________________________________________________	Cit y ZI
P  C ode	
N ote : If t h e  R egis te re d A gen t a nd\bo r O ff ic e  A ddre ss h as c h anged s in ce  d is s 
o lu 
t io 
n  o r r e vo ca tio n, c o m ple te  f o rm  L LC  1 .\f 6 \b1 .\f 7
and  s u bm it  w it h  th is  a pplic a tio n.
T his  a pp li c a tio n is  a cco m panie d b y a ll  a m en dm ents  n ece s
s a ry  t o  c h ang e, a dd o r r 
e m ove  a n  e xis tin g p ro vis io n , b y a ll  d e 
l in qu en t
re ports , in fo rm atio n r e quir e m en ts  a nd
  r e gis tr a tio ns d u e a 
n d 
t h ere fo re  b eco m in g d ue , t o geth e r w it h  a ll   f e e
s  
a nd 
  p 
e nalt ie s r e qu ir 
e d .
I  a ff ir m  u nder  p enalt ie s o f  p erju ry ,  h avin g a uth orit y  to  s ig n h ere to ,  th at  th is  a pplic a tio n fo r  re in sta te m ent  
i s  to  th e b est  o f  m y
kn ow le dg e a nd b e lie f, tr u e , c o rre ct a n d c o m ple te .	
D ate d: _ 
_ __
_ ___________
_ __________,  ______________	M onth \bD ay                                         Y ear	
________________________________________________	S ig natu re	
________________________________________________	N am e a nd T it le  ( ty p e o r p rin t)	
________________________________________________	If a pplic a nt is  a  c o m pany o r o th er e ntit y , s ta te  N am e o f C om pany
and w heth er it  is  a  m em ber o r m anager o f th e L LC .	
Form	L LC -3 5.\b 0/
\b5.6 5	
M ay 2 012	
Illi n ois  
L i\f it 
e \b L ia b
i lit y  C o\f pany A ct	
A ppli\b atio n f o r R ein sta te m en t F ollo w in \f 
A dm in is tr a tiv e D is 
s o lu tio n o r R evo \batio n	
To ta l p aym en t m ust b e m ad e b y
certif ie d  c 
h e
c k, c a
s h ie r’s  c h eck,
Illin ois  a tto rn ey’s  c h eck, Illin o is
C .P .\f .’s  c h eck o r m on ey  o 
r d 
e r
p ayab le  t o 
  S ecre ta ry  o f S ta te 
.	
P rin te d b y a uth orit y  o f th e S ta te  o f Illin ois . M ay 2 012 —  1  —  L LC  8 .9	
I L	
Th is  s p ace  fo r u se  b y S ecre ta ry  
o f  S ta te .This  
s p ace  f o r 
u se  b 
y  S ecre ta ry  o f S ta te 
.	
F ilin g
  F ee
:  $ 5 00
\f pp ro ved :	
FIL E  #	
S ecre ta ry  o f S ta te
D epartm ent o 
f  B usin ess S erv ic e s
Lim it e d L ia bilit y  D iv is io n
501 S . S eco nd S t
. , R m . \f 51
Sprin gfie ld , IL   6 2
7 56
217-5 24-8 008
w ww.c yb erd r
i v e illin ois .c o m	
S U BM IT  IN  D UPLIC \fTE	
Typ e d o r P rin t C le arly