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Get Upa 1004 2014-2024

Form UPA-1004 October 2014 Illinois Uniform Partnership Act Print Save FILE This space for use by Secretary of State. Application for Reinstatement Secretary of State Department of Business Services Limited Liability Division 501 S* Second St* Rm* 357 Springfield IL 62756 217-524-8008 www. cyberdriveillinois. com Reset SUBMIT IN DUPLICATE Type or Print Clearly. Total payment must be made by certified check cashiers check money order IL attorney s check or IL C. P. A. s check. If check is returned for any reason this filing will be void* Filing Fee 200 Approved 1. Partnership Name 2. Federal Employer Identification Number F*E*I. N 3. State of Jurisdiction 4. Date of Expiration 5. Registered Agent Registered Office IL Street Address City The undersigned declares under penalties of perjury that the foregoing is true correct and complete. Zip This form must be signed by a partner. Dated 20 Month Day Signature Year Name and Title type or print Partner Name if a Corporation or other Entity City Town State Zip NOTE Do Not make changes on this form* Use form UPA 1001 h /1102 g and submit with a 25 filing fee to report all changes. Application for Reinstatement Secretary of State Department of Business Services Limited Liability Division 501 S* Second St* Rm* 357 Springfield IL 62756 217-524-8008 www. cyberdriveillinois. com Reset SUBMIT IN DUPLICATE Type or Print Clearly. Total payment must be made by certified check cashiers check money order IL attorney s check or IL C. cyberdriveillinois. com Reset SUBMIT IN DUPLICATE Type or Print Clearly. Total payment must be made by certified check cashiers check money order IL attorney s check or IL C. P. A. s check. If check is returned for any reason this filing will be void* Filing Fee 200 Approved 1. P. A. s check. If check is returned for any reason this filing will be void* Filing Fee 200 Approved 1. Partnership Name 2. Federal Employer Identification Number F*E*I. N 3. State of Jurisdiction 4. Date of Expiration 5. Partnership Name 2. Federal Employer Identification Number F*E*I. N 3. State of Jurisdiction 4. Date of Expiration 5. Registered Agent Registered Office IL Street Address City The undersigned declares under penalties of perjury that the foregoing is true correct and complete. Registered Agent Registered Office IL Street Address City The undersigned declares under penalties of perjury that the foregoing is true correct and complete. Zip This form must be signed by a partner. Dated 20 Month Day Signature Year Name and Title type or print Partner Name if a Corporation or other Entity City Town State Zip NOTE Do Not make changes on this form* Use form UPA 1001 h /1102 g and submit with a 25 filing fee to report all changes. Application for Reinstatement Secretary of State Department of Business Services Limited Liability Division 501 S* Second St* Rm* 357 Springfield IL 62756 217-524-8008 www. cyberdriveillinois. com Reset SUBMIT IN DUPLICATE Type or Print Clearly. Total payment must be made by certified check cashiers check money order IL attorney s check or IL C. P. A. s check. If check is returned for any reason this filing will be void* Filing Fee 200 Approved 1. .

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