Illinois Secretary of State
Securities Department
421 E. Capitol Ave., 2nd Floor
Springfield, IL 62701
217-782-2256
IL FORM BO5
Consent to Service of Process
for Corporation, Unincorporated
Associations and Individuals
KNOW ALL MEN BY THESE PRESENTS:
That for the purpose of authorizing noncriminal suits, actions or proceedings arising from the violation of any provision of the Business
Opportunity Sales Law of 1995, to be commenced in any court of competent jurisdiction in the State of Illinois, in any county in which the
plaintiff or complainant resides, or in which the cause of action may have arisen; pursuant to and in compliance with Section 5-30(b) of said
Act, the undersigned consents, without power of revocation, that any and all noncriminal suits, actions or proceedings arising from the
violation of any provision of said Act, may be commenced against the undersigned in any court of competent jurisdiction and proper venue in
the State of Illinois, by service of process upon the Secretary of State of Illinois; the undersigned further consents that such service of process
upon the said Secretary of State shall be valid and binding upon the undersigned.
IF EXECUTED BY A CORPORATION
IN WITNESS WHEREOF, the undersigned has caused this irrevocable consent and power of attorney to be executed in its behalf and its seal to
be hereunto affixed by its officers thereunto duly authorized in the State of Illinois this _______ day of ___________________, 20 ______.
(Corporate Seal)
Attest: By:
STATE OF:
COUNTY OF:
I, a Notary Public in and for said County in the State aforesaid, do, hereby, certify that
and______________________________________, personally known to me and personally
known to be respectively the President and Secretary of the ,
and personally known to be the same persons who subscribed to the foregoing instrument as the President and Secretary of
, appeared before me this day in person and acknowledged that they signed,
sealed and delivered the said instrument for and on behalf of the said
as its free and voluntary act, for the uses and purposes therein set forth.
Given under my hand and notarial seal this day of_________________ , 20 _______.
(NOTARIAL SEAL)
My commission expires:
Printed by authority of the State of Illinois. November 2015 — 100 — SEC 309.1
Corporate Name
Notary Public
Secretary
Corporate Name
Corporate Name
Corporate Name
President
