Print                               Reset

                                                                                     F ILE #
Form                                                Illinois 
July 2017LLC-5.47                     Limited Liability Company Act                  This space for use by Secretary of State.

S ecretary 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.
2 17-524-8008
www.cyberdriveillinois.com
Payment may be made by check
                                      Filing Fee:  $25
payable to Secretary of State. If
check is returned for any reason this Approved:
f iling 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