Telephone: 877.767.3453   
                                   OhioSoS.gov  |  business@OhioSoS.gov 
                                   File online or for more information: OhioBusinessCentral.gov

                                   Filing Form Cover Letter

Please return the approval certificate to:

Name (Individual or Business Name):

To the Attention of (if necessary):

Address:

City:

State                                                                    ZIP Code:

Phone Number:                             E-mail Address:

Check here if you would like to receive important notices via email from the Ohio Secretary of State's office regarding 
Business Services.

Check here if you would like to be signed up for our Filing Notification System for the business entity being created or 
updated by filing this form. This is a free service provided to notify you via email when any document is filed on your 
business record.

Please make checks or money orders payable to: "Ohio Secretary of State" 
Type of Service Being Requested:  (PLEASE CHECK ONE BOX BELOW)

Regular Service: Only the filing fee listed on page one of the form is required and the filing will be 
processed in approximately 3-7 business days.  The processing time may vary based on the volume of 
filings received by our office.

Expedite Service 1:  By including an Expedite fee of $100.00, in addition to the regular filing fee on page 
one of the form, the filing will be processed within 2 business days after it is received by our office. 

Expedite Service 2:  By including an Expedite fee of $200.00, in addition to the regular filing fee on page 
one of the form, the filing will be processed within 1 business day after it is received by our office. This 
service is only available to walk-in customers who hand deliver the document to the Client Service Center.

Expedite Service 3:  By including an Expedite fee of $300.00, in addition to the regular filing fee on page 
one of the form, the filing will be processed within 4 hours after it is received by our office, if received by 1:00 
p.m.  This service is only available to walk-in customers who hand deliver the document to the Client Service Center.

Preclearance Filing:  A filing form, to be submitted at a later date for processing, may be submitted to be 
examined for the purpose of advising as to the acceptability of the proposed filing for a fee of $50.00. The 
Preclearance will be complete within 1-2 business days.

Form 525A                                 Page 1 of 4                             Last Revised: 01/2022

Form 525A Prescribed by:                                                                 Mail this form to one of the following: 
                            Toll Free: 877.767.3453 
                                                                                         Regular Filing (non expedite) 
                            Central Ohio: 614.466.3910                                   P.O. Box 788 
                                                                                         Columbus, OH  43216 
                            OhioSoS.gov 
                                                                                         Expedite Filing (Two business day processing time. 
                            business@OhioSoS.gov                                                                   Requires an additional $100.00) 
                                                                                         P.O. Box 1390 
                            File online or for more information: OhioBusinessCentral.gov Columbus, OH  43216
For screen readers, follow instructions located at this path.

                            Reinstatement & Appointment of Agent 
                For a Foreign or Domestic Corporation or Limited Liability Company 
                            For Failure to Maintain a Statutory Agent 
                                                             (108-REN) & (111-FREA) 
                                                             Filing Fee: $25 
                                                              Form Must Be Typed 

  Name of Entity
  
  Entity Number
 
  Must complete this section
  
New Statutory Agent Name and Address 
  
  Name
  
  Mailing Address
  
                                                                             Ohio
  
  City                                                                       State       Zip Code
  
Form 525A                                                    Page 2 of 4                                           Last Revised: 01/2022

 This section must be completed by domestic corporations and foreign and domestic limited liability companies.
                                                Acceptance of Appointment

  The Undersigned,                                                                                             , named herein as the
                       (Name of Statutory Agent)

  Statutory agent for
                       (Name of Corporation)

  hereby acknowledges and accepts the appointment of statutory agent for said corporation.

  Statutory Agent Signature

                              (Individual Agent's Signature / Signature on Behalf of Business Serving as Agent)

By signing and submitting this form to the Ohio Secretary of State, the undersigned hereby certifies that he or she 
has the requisite authority to execute this document.

Required   
  
Reinstatement must                          Signature
be signed by a corporate officer, 
or if a nonprofit corporation, 
then by an officer of three 
                                            By (if applicable)
members in good standing. If a 
limited liability company, by one 
person authorized by the limited 
liability company.                          Print Name
 
If authorized representative 
is an individual, then they 
must sign in the "signature" 
box and print their name                    Signature
in the "Print Name" box. 
 
If authorized representative 
                                            By (if applicable)
is a business entity, not an 
individual, then please print 
the business name in the 
"signature" box, an                         Print Name
authorized representative 
of the business entity 
must sign in the "By" box 
and print their name in the 
"Print Name" box.                           Signature
  
                                            By (if applicable)

                                            Print Name

Form 525A                                             Page 3 of 4                                              Last Revised: 01/2022

              Instructions for Reinstatement & Appointment of Agent

Entity Information  
The entity must provide the name and entity number.   
  
Agent Information:  Pursuant to Ohio Revised Code §1701.07,1702.06, and 1703.041, and 1706.09 an 
entity must appoint and maintain a statutory agent to accept service of process on behalf of the 
corporation. The statutory agent must be one of the following: (1) A natural person who is a resident of 
this state; or (2) A domestic or foreign corporation, nonprofit corporation, limited liability company, 
partnership, limited partnership, limited liability partnership, limited partnership association, professional 
association, business trust, or unincorporated nonprofit association that has a business address in this 
state. If the agent is a business entity then the agent must meet the requirements of Title XVII of the 
Revised Code to transact business or exercise privileges in Ohio. The statutory agent must also sign the 
Acceptance of Appointment on page 2.     
  
Additional Provisions   
If the information you wish to provide for the record does not fit on the form, please attach additional 
provisions on a single-sided, 8 1/2 x 11 sheet(s) of paper.  
  
Signature(s)  
After completing all information on the filing form, please make sure that the form is signed. If the 
applicant is a corporation, the reinstatement form must be signed by a corporate officer.    
If the applicant is a nonprofit corporation, the reinstatement form must be signed by an officer or three 
members in good standing. If the entity is a limited liability company, the form must be signed by at least 
one authorized person.  
  
**Note:  Our office cannot file or record a document that contains a social security number or tax 
identification number.  Please do not enter a social security number or tax identification number, 
in any format, on this form.  

Form 525A                               Page 4 of 4                Last Revised: 01/2022