Enlarge image | Reset FILE # Form Illinois LLC-5.47 Limited Liability Company Act This space for use by Secretary of State. July 2017 Secretary of State Statement of Correction Department of Business Services Limited Liability Division 501 S. Second St., Rm. 351 SUBMIT IN DUPLICATE Springfield, IL 62756 Type or print clearly. 217-524-8008 www.ilsos.gov Payment may be made by check Filing Fee: $25 payable to Secretary of State. If check is returned for any reason this Approved: filing will be void. 1. Limited Liability Company name: __________________________________________________________________ 2. State or country of organization: ____________________________________________________________________ 3. Title of document to be corrected: _____________________________________________________________________ 4. Date erroneous document filed by Secretary of State: ______________________________________________________ 5. Inaccuracy, error or defect: __________________________________________________________________________ (Briefly identify the error and explain how it occurred. If more space is needed, use reverse side or attach additional sheets of this size.) 6. Corrected portion(s) of document in corrected form: ________________________________________________________ (If more space is needed, use reverse side or attach additional sheets of this size.) 7. I affirm, under the penalties of perjury, having the authority to sign hereto, that this Statement of Correction 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. January 2018 — 1 — LLC 34.4 |