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                                                                                                                  F ILE #
                                                                      Illinois 
Form                                                  Limited Liability Company Act                               This space for use by Secretary of State.
May 2018LLC-45.5(S)
S ecretary of State                                   Application for Admission 
Department of Business Services                       to Transact Business
Limited Liability Division
                                                        SUBMIT IN DUPLICATE
501 S. Second St., Rm. 351
Springfield, IL  62756                                            Type or print clearly.
2 17-524-8008
www.cyberdriveillinois.com
Payment must be made by certified check,              Filing Fee: $400
c ashier’s check, Illinois attorney’s check, C.P.A.’s Penalty:    $ 
c heck or money order payable to Secretary of
S tate. If check is returned for any reason this      Approved:
f iling will be void.

1.   Limited Liability Company name: (see Note 1) _____________________________________________________________________

2.   Assumed name: ___________________________________________________________________________________________
                         This item is only applicable if the company name in Item 1 is not available for use in Illinois, in which case form LLC-
                         1.20 must be completed and submitted with this application.

3.   Jurisdiction of organization: ___________________________________________________________________________________

4.   Date of organization: ________________________________________________________________________________________

5.   Period of duration: ___________________________________________________________________________________________
                            Enter “Perpetual” unless there is a date of dissolution provided in the agreement, in which case enter that date.

6.   Address of the office required to be maintained in the jurisdiction of its organization or, if not required, of the principal place of
  business: (P.O. Box alone or c/o is unacceptable.)

      __________________________________________________________________________________________________________
                            Number                                    Street                                                    Suite #
      __________________________________________________________________________________________________________
                                                      City/State                                                                ZIP

7.   Registered agent: __________________________________________________________________________________________
                                   First Name                         Middle Initial                              Last Name

      Registered office: ___________________________________________________________________________________________
  (P.O. Box alone or                   Number                         Street                                             Suite #
  c/o is unacceptable.)
      _________________________________________________________________________________________________________IL
                                                      City                                                               ZIP

Note: The registered agent must reside in Illinois. If the agent is a business entity, it must be authorized to act as agent in this state.

8.   If applicable, date on which the company first conducted business in Illinois: ____________________________________________
                                                                                                                  Month, Day, Year

                                                                  (continued on back)

                                          Printed by authority of the State of Illinois. June 2018 — 1 — LLC 39.11



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L LC-45.5(S)
9.   Purpose(s) for which the company is organized and proposes to conduct business in Illinois: (see Note 2)      ____________________
      _________________________________________________________________________________________________________
      __________________________________________________________________________________________________________
      _________________________________________________________________________________________________________

1 0.T he jurisdiction of organization permits the establishment of a series having separate rights, powers or duties and has limited the
   liabilities of such series. Unless otherwise provided for in the operating agreement, the debts, liabilities and obligations incurred,
   contracted for, or otherwise existing with respect to a particular series of the Limited Liability Company are enforceable against the
   assets of such series only, and not against the assets of the Limited Liability Company generally or any other series thereof; and
   n one of the debts, liabilities, obligations and expenses incurred, contracted for, or otherwise existing with respect to the Limited
   Liability Company generally or any other series thereof shall be enforceable against the assets of such series.

11.Pursuant to Section 37-40 of the Limited Liability Company Act, a Certificate of Designation shall be filed for each series being 
      registered to do business in this State.

12.The Limited Liability Company: (Check one.)
      is managed by the manager(s)or has management vested in the member(s).

13.  List names and business addresses of all managers and any member with the authority of manager(s): ______________________
      _________________________________________________________________________________________________________

      _________________________________________________________________________________________________________

      _________________________________________________________________________________________________________

14.The Illinois Secretary of State is hereby appointed the agent of the company for service of process under the circumstances set  
      forth in subsection (b) of Section 1-50 of the Illinois Limited Liability Company Act.

15. This application is accompanied by a Certificate of Good Standing or Existence, duly authenticated within the last 60 days
   by the officer of the state or country wherein the LLC is formed. If the Certificate of Good Standing or Existence does not
   affirm the ability to establish series, this application also is accompanied by a duly authenticated copy of the Articles of
   Organization as amended.

16.The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this application for admission to transact 
      business 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.

Note 1:The name must contain the term Limited Liability Company, LLC or L.L.C. The name cannot contain any of the following terms:
“Corporation,” “Corp.” “Incorporated,” “Inc.,” “Ltd.,” “Co.,” “Limited Partnership” or “LP.” A limited liability company that will provide
services licensed by the Illinois Department of Financial and Professional Regulation must instead contain the term Professional Limited
Liability Company, PLLC or P.L.L.C. in the name.

Note 2:A professional limited liability company must state the specific professional service or related professional services to be
rendered by the professional limited liability company.






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