Form LLC-35.40/45.65 Application for Reinstatement Following Administrative Dissolution or Revocation - Illinois

Form LLC-35.40/45.65 is a Illinois Secretary of State form also known as the "Application For Reinstatement Following Administrative Dissolution Or Revocation". The latest edition of the form was released in July 1, 2017 and is available for digital filing.

Download a PDF version of the Form LLC-35.40/45.65 down below or find it on Illinois Secretary of State Forms website.

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LLC-35.40/
Illinois
45.65
FILE #
Form
Limited Liability Company Act
This space for use by Secretary of State.
July 2017
Application for Reinstatement Following
Administrative Dissolution or Revocation
Secretary of State
Department of Business Services
SUBMIT IN DUPLICATE
Limited Liability Division
501 S. Second St., Rm. 351
Type or print clearly.
Springfield, IL 62756
217-524-8008
www.cyberdriveillinois.com
Filing Fee: $200
Total payment must be made by
certified check, cashier’s check,
Approved:
Illinois attorney’s check, Illinois
C.P.A.’s check or money order
payable to Secretary of State.
1. Limited Liability Company name as of the date of issuance of Notice of Dissolution or Revocation:
______________________________________________________________________________________________
2. If applicable, new name of Limited Liability Company (Form LLC 5.25 or LLC 45.25 must accompany this application):
______________________________________________________________________________________________
3. State of organization: ____________________________________________________________________________
4. Date Notice of Dissolution or Revocation issued: __________________________________________________________
5. Registered agent:
______________________________________________________________________________
First Name
Middle Initial
Last Name
Registered office:
______________________________________________________________________________
Number
Street
Suite #
(P.O. Box and
IL
(P.O. Box alone or
c/o are unacceptable)
______________________________________________________________________________
c/o is unacceptable.)
City
ZIP Code
Note: If the registered agent and/or office address has changed since dissolution or revocation, complete form LLC 1.36/1.37
and submit with this application.
This application is accompanied by all amendments necessary to change, add or remove an existing provision, by all delinquent
reports, information requirements and registrations due and therefore becoming due, together with all fees and penalties required.
I affirm under penalties of perjury, having authority to sign hereto, that this application for reinstatement is to the best of my
knowledge and belief, true, correct and complete.
Dated: ___________________________, ______________
Month/Day
Year
________________________________________________
Signature
________________________________________________
Name and Title (type or print)
________________________________________________
If applicant is signing for a company or other entity,
state name of company or entity.
Printed by authority of the State of Illinois.
2017 — 1 — LLC 8.11
December
Print
Reset
LLC-35.40/
Illinois
45.65
FILE #
Form
Limited Liability Company Act
This space for use by Secretary of State.
July 2017
Application for Reinstatement Following
Administrative Dissolution or Revocation
Secretary of State
Department of Business Services
SUBMIT IN DUPLICATE
Limited Liability Division
501 S. Second St., Rm. 351
Type or print clearly.
Springfield, IL 62756
217-524-8008
www.cyberdriveillinois.com
Filing Fee: $200
Total payment must be made by
certified check, cashier’s check,
Approved:
Illinois attorney’s check, Illinois
C.P.A.’s check or money order
payable to Secretary of State.
1. Limited Liability Company name as of the date of issuance of Notice of Dissolution or Revocation:
______________________________________________________________________________________________
2. If applicable, new name of Limited Liability Company (Form LLC 5.25 or LLC 45.25 must accompany this application):
______________________________________________________________________________________________
3. State of organization: ____________________________________________________________________________
4. Date Notice of Dissolution or Revocation issued: __________________________________________________________
5. Registered agent:
______________________________________________________________________________
First Name
Middle Initial
Last Name
Registered office:
______________________________________________________________________________
Number
Street
Suite #
(P.O. Box and
IL
(P.O. Box alone or
c/o are unacceptable)
______________________________________________________________________________
c/o is unacceptable.)
City
ZIP Code
Note: If the registered agent and/or office address has changed since dissolution or revocation, complete form LLC 1.36/1.37
and submit with this application.
This application is accompanied by all amendments necessary to change, add or remove an existing provision, by all delinquent
reports, information requirements and registrations due and therefore becoming due, together with all fees and penalties required.
I affirm under penalties of perjury, having authority to sign hereto, that this application for reinstatement is to the best of my
knowledge and belief, true, correct and complete.
Dated: ___________________________, ______________
Month/Day
Year
________________________________________________
Signature
________________________________________________
Name and Title (type or print)
________________________________________________
If applicant is signing for a company or other entity,
state name of company or entity.
Printed by authority of the State of Illinois.
2017 — 1 — LLC 8.11
December

Download Form LLC-35.40/45.65 Application for Reinstatement Following Administrative Dissolution or Revocation - Illinois

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