Illinois LLC Reservation of Name Form

In the case of a limited liability company in the State of Illinois wanting to reserve a name before officially registering that name, the following form has to be completed and submitted. Making sure the desired name is not already reserved is essential. This form has to be submitted along with a $100 filing fee.

Extracted Text for Proper Search

1. Lim it e d L ia bilit y  C om pany n am e: 
2 . Sta te  o r c o untr y  o f  o rg aniz a tio n: 
3 . Date  o f  o rg aniz a tio n: 
\f . Purp ose  fo r w hic h  th e L im it e d L ia bilit y  C om pany w as o 
r g aniz e d:
5. Post- o ff ic e  a ddre ss to  w hic h  m ay b e m aile d n otic e s b y 
t h 
e  S ecre ta ry  o f  S ta te : 
6 . The L im it e d L ia bilit y  C om pany d esir e s to  r e gis te r it s  n am e p urs 
u a
n t  to 
  S ec
t io n \f 5-2 \b,  a nd it   is  N O T tr a nsa ctin g b usin ess
in  th e S ta te  o f  Illin ois .
7 . If  th e p urp ose  o f  th is  s u bm is sio n is  to  r e gis te r a  n am e
  o r to  r e n
e w  a  r e gis te re d n am e,  a  c e rtif ic a te  n ot  m ore  th an 3 \b  .
d ays o ld  m ust  b e a tta ch ed s ta t
i n g th at  th e L im it e d L ia bilit y  C om pany i
s  in  g ood 
s ta ndin g u nder th e la w s o f  th e s ta te  o r   .
c o untr y  w here in  it   is  o rg aniz e d.
8 . Such  r e gis tr a tio n o r r e new al  o f  r e gis tr a tio n s h all  b e e ff e ctiv e  fr o m  th e d ate  o f  filin 
g  b y th e S ecre ta ry  o f  S ta te  u ntil  th e 
fir s t  d ay o f  th e 1 2th  m onth  fo llo w in g 
s u ch 
  d a
t e .
9. The c a nce lla tio n s h all  b e e ff e ctiv e  u pon filin g w it h  th e S ecre ta ry  o f  S ta te .
1\b.T he u nders ig ned a ff ir m s,  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 is  to  th e b est 
m y k n ow le dge a nd b elie f,  tr u e,  c o rre ct  a nd c o m ple te .	
D ate d:  _ _____________
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_ __________________ F orm	
L LC -4 5.2 0	
M ay 2 \b12	
Illin ois  
L im it e d 
L ia bilit y  C om pany A ct	
a . A pplic atio n f o r R eg is tr a tio n o f N am e
b.  R en ew al  o f R e
g is te re d  N am e
c.  C an cella tio n o f R eg is te re d  N am e	
This  s p ace  fo r u se  b y S ecre 
t a 
r y  o 
f   S ta te .	
F ilin g
  F ee\b   a ) $ 3\b
\b     
  b ) $ 1\b\b     c ) $ 1\b\b
A pp ro ved 
\b	
M onth /D ayY ear
S ig natu re  
N am e a n d T it le  ( ty p e 
o r p rin t)
I f  a pplic a nt  i
s  a 
  c o m pan y o r o th er 
e ntit y ,  s ta te  
n am e 
o f  c o m pa n
y  a nd  
i n dic a te  
w heth er it   is  
a  m em ber o r m an
a ge
r  o f  t
h e L LC .
 
P rin te d b y a uth orit y  o f  th e S ta te  o f  Illin ois .  M ay 2 \b12 —  1  —  L LC  6 .5	
S U BM IT  IN  \f UPLIC ATE	
Typ ed o r P rin t  C le arly	
Se cre 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
5\b1 S .  S eco nd S t.,  R m .
  3 51
S prin gfie ld ,  IL   6 2756
217-5 2\f-8 \b\b8
w ww.c yb erd riv e illin ois .c o m
P aym en t m ay b e m ad e
  b y c h ec
k
p ayab le  t o  S ecre ta ry  o f S ta te .  If
c h eck is  r e tu rn e
d  f o r a n y r e aso n t h 
i s
filin g w ill  b e v o id .	
T his  s p ace  f
o r u se 
  b y S ecre ta r
y  o f  S ta te . FIL E  #