Form LLC 15.14 Form Llc-1.20 - Application to Adopt, Change, Cancel or Renew an Assumed Name - Illinois

Form LLC15.14 or the "Form Llc-1.20 - Application To Adopt, Change, Cancel Or Renew An Assumed Name" is a form issued by the Illinois Secretary of State.

The form was last revised in December 1, 2017 and is available for digital filing. Download an up-to-date Form LLC15.14 in PDF-format down below or look it up on the Illinois Secretary of State Forms website.

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LLC-1.20
Illinois
FILE #
Form
Limited Liability Company Act
This space for use by Secretary of State.
July 2017
Application to Adopt, Change, Cancel
Secretary of State
or Renew an Assumed Name
Department of Business Services
Limited Liability Division
SUBMIT IN DUPLICATE
501 S. Second St., Rm. 351
Springfield, IL 62756
Type or print clearly.
217-524-8008
www.cyberdriveillinois.com
Payment may be made by check
Filing Fee (See Note):
$
payable to Secretary of State. If
Approved:
check is returned for any reason this
filing will be void.
1. Limited Liability Company name: ____________________________________________________________________
______________________________________________________________________________________________
2. State or country under the laws of which the company is organized: (check one)
❒ Illinois (domestic)
❒ Foreign (specify): ____________________________
3. Check this box ❒ if it is a Series of the Limited Liability Company that intends to adopt, change, cancel or renew an assumed
name.
Name of Series: ____________________________________________________________________________________
4. TO ADOPT:
The Limited Liability Company or Series intends to adopt and transact business under the
(see note)
assumed name of:_________________________________________________________________
5. TO CHANGE:
(a)
The above-named Limited Liability Company or Series intends to cease transacting business
(see note)
under the assumed name of: ____________________________________________________
(b)
and to commence transacting business under the new assumed name of: _________________
___________________________________________________________________________
6. TO CANCEL:
The above-named Limited Liability Company or Series intends to cease transacting business under
(see note)
the assumed name of: _____________________________________________________________
7. TO RENEW:
The above-named Limited Liability Company or Series intends to renew the assumed name of:
(see note)
________________________________________________________________________________
8. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this Application to Adopt, Change,
Cancel or Renew an Assumed Name 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. December 2017 — 1 — LLC 15.14
Print
Reset
LLC-1.20
Illinois
FILE #
Form
Limited Liability Company Act
This space for use by Secretary of State.
July 2017
Application to Adopt, Change, Cancel
Secretary of State
or Renew an Assumed Name
Department of Business Services
Limited Liability Division
SUBMIT IN DUPLICATE
501 S. Second St., Rm. 351
Springfield, IL 62756
Type or print clearly.
217-524-8008
www.cyberdriveillinois.com
Payment may be made by check
Filing Fee (See Note):
$
payable to Secretary of State. If
Approved:
check is returned for any reason this
filing will be void.
1. Limited Liability Company name: ____________________________________________________________________
______________________________________________________________________________________________
2. State or country under the laws of which the company is organized: (check one)
❒ Illinois (domestic)
❒ Foreign (specify): ____________________________
3. Check this box ❒ if it is a Series of the Limited Liability Company that intends to adopt, change, cancel or renew an assumed
name.
Name of Series: ____________________________________________________________________________________
4. TO ADOPT:
The Limited Liability Company or Series intends to adopt and transact business under the
(see note)
assumed name of:_________________________________________________________________
5. TO CHANGE:
(a)
The above-named Limited Liability Company or Series intends to cease transacting business
(see note)
under the assumed name of: ____________________________________________________
(b)
and to commence transacting business under the new assumed name of: _________________
___________________________________________________________________________
6. TO CANCEL:
The above-named Limited Liability Company or Series intends to cease transacting business under
(see note)
the assumed name of: _____________________________________________________________
7. TO RENEW:
The above-named Limited Liability Company or Series intends to renew the assumed name of:
(see note)
________________________________________________________________________________
8. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this Application to Adopt, Change,
Cancel or Renew an Assumed Name 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. December 2017 — 1 — LLC 15.14
LLC-1.20
NOTE:
a. An assumed name may be adopted in five-year increments. The right to use an assumed name shall be
effective from the date of filing by the Secretary of State until the first day of the anniversary month of the
Limited Liability Company that falls within the next calendar year evenly divisible by 5.
b. The filing fee to adopt an assumed name is $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; or $30 for each year or part thereof ending in 4 or 9.
c. The fee to change an assumed name is $25.
d. The fee for canceling an assumed name is $5.
e. The fee to renew an assumed name is $150. An assumed name may be renewed 60 days prior to the expiration
of the right to use the assumed name, for a period of five years, by making an election to do so at the time
of filing the Annual Report and by paying the renewal fees as prescribed by this Act.
f. A penalty of $100 will apply to any assumed name renewed on or after the first day of the company's anniversary
month. If the assumed name is not renewed within the 60 days commencing with the first day of the
company's anniversary month, the right to use the assumed name shall cease.

Download Form LLC 15.14 Form Llc-1.20 - Application to Adopt, Change, Cancel or Renew an Assumed Name - Illinois

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