Telephone: 614.466.3910 
                                   Toll-free: 877.767.3453   
                                   OhioSoS.gov  |  business@OhioSoS.gov 
                                   File online or for more information: OhioBusinessCentral.gov

                                   Return Documents To:
Name (Individual or Business Name):

Email Address (Required):

To the Attention of (If Necessary):

Address:

City:

State                                                                   ZIP Code:

Phone Number:

                            SERVICE TYPE - Check only ONE item below.

Expedited Fees are IN ADDITION to the filing fee on the form. 
Failure to include the expedite fee or indicate a selection will result in regular service.

 Regular Service
         · No Expedite Fee. 
         · Processing Time: 3-7 business days. 

 Expedite Service 1
         · Fee: $100 
         · Processing Time: 2 business days after receipt. 

 Expedite Service 2
         · Fee: $200 
         · Processing Time: 1 business day after receipt. 

 Expedite Service 3 (in-person delivery is required)
         · Fee: $300 
         · Processing Time: 4 hours if received by 1:00 p.m. If received after 1:00 p.m., documents will be 
         processed by noon the following business day. 

 Preclearance Filing
         · Fee: $50 
         · Processing Time: 1-2 business days after receipt. 
                                                                                                                 
Form 522                                       Page 1 of 4                                 Last Revised: 10/2024

                                                              INSTRUCTIONS                                  MAIL TO
                                                              · Include the filing fee.                     Regular Service: 
                                                              · Make check or money order payable to        P.O. Box 788 
                                                              Ohio Secretary of State.                      Columbus, OH  43216 
                                                              · Print on single-sided 8 ½ x 11 paper.       OR 
                                                              · Double sided paper will be rejected.        Expedite Service: 
Form 522 Prescribed by:                                       · Information must be typed.                  P.O. Box 1390 
For screen readers, follow instructions located at this path. ·Illegible forms will be rejected             Columbus, OH  43216

                                                   Statement of Continued Existence 
                                                                Filing Fee: $25 
                                                                Form Must Be Typed 

    CHECK ONLY ONE (1) Box
    (1)    Statement of Continued Existence (163-CCE)                                   (2)     Verification of Foreign Nonprofit (173-FCE)  
           (Domestic Nonprofit Corporation)                                                     (Foreign Nonprofit Corporation)
    By submitting this form the corporation is verifying with the secretary of state's office that it is still actively  
    engaged in exercising its corporate privileges

     Name of Corporation

     Charter or License Number

    Complete the information in this section if box (1) is checked

     Location of Principal Office
                                        City                                                          County

     Date of Incorporation
                                        Date

    Complete the information in this section if box (2) is checked 

    Date of Qualification in Ohio
                                        Date

    Jurisdiction of Formation
                                        Jurisdiction

    Address of Principal Office
                                        Mailing Address

                                        City                                                    State       Zip Code
                                                                                                                                              
Form 522                                                                 Page 2 of 4                        Last Revised: 10/2024

All Corporations must complete this section

Current Statutory Agent's Name and Address 

 Name of Agent

 Agent Address (P.O. Boxes and CMRAs are NOT allowed. See Instructions for details.)

                                                            Ohio
 City                                                       State                   Zip Code

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       
 
The statement must be             Signature
signed by a director, officer, or 
three members in good 
standing. 
                                  By (if applicable)
If authorized representative 
is an individual, then they 
must sign in the "signature" 
box and print their name 
                                  Print Name
in the "Print Name" box. 
 
If authorized representative 
is a business entity, not an 
individual, then please print     Signature
the business name in the 
"signature" box, an 
authorized representative 
of the business entity            By (if applicable)
must sign in the "By" box 
and print their name in the 
"Print Name" box. 
                                  Print Name

                                  Signature

                                  By (if applicable)

                                  Print Name

Form 522                                    Page 3 of 4                             Last Revised: 10/2024

              Instructions for Statement of Continued Existence 

This form should be used by a nonprofit corporation (domestic or foreign) to verify its continued 
existence in Ohio.  This form must be submitted every 5 years if no other filing has been submitted.
Please check box (1) or box (2) to state whether the nonprofit corporation is a domestic or foreign 
corporation. 
 
By submitting this form, the corporation agrees to the statement at the top of the form which states the 
corporation is still actively engaged in exercising its corporation privileges. 
 
Corporation Information 
Pursuant to Ohio Revised Code §§1702.59 and 1703.27, please provide the name of the corporation 
and the charter or license number assigned to the corporation in Ohio. 
 
Domestic (Ohio) Corporation Information 
If the corporation submitting the form is a domestic (Ohio) corporation, please provide the location of the 
principal office, specifically the city and county where the principal office is located.  Also, please provide 
the date of incorporation. 
 
Foreign (Non-Ohio) Corporation Information 
If the corporation submitting the form is a foreign (Non-Ohio) corporation, please provide: (1) the date of 
qualification in Ohio; (2) the jurisdiction of formation; (3) the address of the principal office. 
 
Statutory Agent Address Requirements 
A statutory agent address may either be the primary residence address of the agent or the usual place 
of business address. The statutory agent address must be an Ohio address. 
 
Statutory Agent Address Prohibitions 
Post Office (P.O.) boxes are NOT allowed. 
 Exception: If a Post Office Box and Rural Route Number are both provided, the address is allowed. 

Commercial Mail Receiving Agency (CMRA) addresses are NOT allowed. A CMRA is a private business 
that rents private mailboxes to customers. 
 
Signature 
After completing all information on the filing form, please make sure that page 2 is signed by a director, 
officer or three members in good standing. 
 
**Note: Our office cannot file or record a document which 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 522                                   Page 4 of 4                          Last Revised: 10/2024