The annual report shall be made on forms prescribed and furnished by the Secretary of State, and the information therein required by paragraphs (1) through (4) of this subsection (a), both inclusive, shall be given as of the date of execution of the annual report. The annual report shall be executed by a director or, if none, a member designated by the members pursuant to limited worker cooperative association action properly taken under Section 15-1 of the Limited Liability Company Act.
805 ILCS 317/36