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Application For Reinstatement Of Domestic Or Foreign Corporations (Illinois)

This form is for reinstatement of a domestic or foreign corporation in Illinois. The form provided here is simply a sample of what the actual Form BCA-12.45/13.60 looks like.

File # ________________________________

Form BCA-12.45/13.60

Jesse White
Secretary of State
Department of Business Services
Springfield, IL 62756
Telephone (217) 785-2237
(217) 785-6033
https://www.sos.state.il.us

Payment must be made by certified check, cashier's check, Illinois attorney's check, Illinois C.P.A.'s check or money order, payable to "Secretary of State."

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SUBMIT IN DUPLICATE

This space for use by Secretary of State

Date ________________________________

Filing Fee $100.00

Approved: ________________________________

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APPLICATION FOR REINSTATEMENT OF DOMESTIC OR FOREIGN CORPORATIONS


1. (a) Corporate name as of the date of issuance of the certificate of dissolution or revocation:

________________________________

________________________________

(b) Corporate name as changed: ________________________________ (Note 1)

(c) If a foreign corporation having a certificate of authority under an assumed corporate name restriction, the assumed corporate name:

________________________________ (Note 2)

2. State of incorporation: ________________________________

3. Date that the certificate of dissolution or revocation was issued: _________________________

4. Name and address of the Illinois registered agent and the Illinois registered office, upon reinstatement: (Note 3) NOTICE! Completion of item #4 does not constitute a registered agent or office change. See note #3 on back of this form.

Registered Agent First Name ________________________________

Middle Name ________________________________

Last Name ________________________________

Registered Office Number ________________________________

Street ________________________________

Suite # (A P.O. Box alone is not acceptable) ________________________________

City ________________________________

ZIP Code ________________________________

County ________________________________

5. This application is accompanied by all delinquent report forms together with the filing fees, franchise taxes, license fee and penalties required.

6. The undersigned corporation has caused this statement to be signed by its duly authorized officers, each of whom affirms, under penalties of perjury, that the facts stated herein are true. (All signatures must be in BLACK INK.)

Dated _____________________________ (Month & Day), ____________ (Year)

______________________________________ (Exact Name of Corporation)

attested by ______________________________ (Signature of Secretary or Assistant Secretary)

______________________________________ (Type or Print Name and Title)

by ______________________________________ (Signature of President or Vice President)

______________________________________ (Type or Print Name and Title)


NOTES

Note 1: If the corporate name which the corporation had at the time of dissolution or revocation is not available for use at the time of reinstatement, the corporation shall set forth the new name by which it will hereafter be known. A change of corporate name must also be properly effected in accordance with the provisions of the Business Corporation Act of 1983. For domestic corporations, articles of amendment must be filed, pursuant to Section 10.30. For foreign corporations, the name must be changed in the state or country of incorporation by articles of amendment filed there, and an application for amended certificate of authority, together with a certified copy of the amendment, must be filed pursuant to Section 13.40.

Note 2: If a foreign corporation's true name was not available for use when the original certificate of authority was issued, the corporation had to adopt an assumed corporate name for use in Illinois. When reinstating, an application for an assumed corporate name, pursuant to Section 4.15, must accompany the reinstatement application.

Note 3: If either or both the registered agent or the registered office of the corporation has changed since the time of dissolution or revocation, the corporation shall properly report such a change on Form BCA-5.10.

Telephone:

Domestic: (217) 782-5797
(217) 785-5782
Foreign: (217) 782-1837

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