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Statement of Correction (Illinois)

This form is to correct articles of incorporation filed in Illinois. The form provided here is simply a sample of what the actual Form BCA-1.15 looks like.

Form BCA-1.15

Jesse White
Secretary of State
Department of Business Services
Springfield, IL 62756
Telephone (217) 785-2237

Remit payment in check or money order, payable to "Secretary of State."


File # ________________________________


This space for use by Secretary of State

Date ________________________________

License Fee $________________________________

Franchise Tax $________________________________

Filing Fee $ 25.00

Penalty $________________________________

Interest $________________________________

Approved: ________________________________



1. CORPORATE NAME: ________________________________

2. STATE OR COUNTRY OF INCORPORATION: ________________________________

3. Title of document to be corrected: ________________________________

4. Date erroneous document was filed by Secretary of State: ________________________________

5. Inaccuracy, error or defect:
(Briefly identify the error and explain how it occurred. Use reverse side or add one or more sheets of this size if necessary.)



6. Corrected portion(s) of the document in corrected form:
(If there is not sufficient space to cover this point, use reverse side or add one or more sheets of this size.)



7. 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)

by ________________________________ (Signature of President or Vice President)

________________________________ (Type or Print Name and Title)

________________________________ (Type or Print Name and Title)

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