Toll Free: 877.767.3453  |  Central Ohio: 614.466.3910  
                                   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 522                                  Page 1 of 4                                      Last Revised: 11/2021

Form 522 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.

                                   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: 11/2021

  All Corporations must complete this section
  
Current Statutory Agent's Name and Address 
  
   Name of Agent
  
   Mailing Address
  
                                                              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: 11/2021

             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 
Please provide the name and address of the current statutory agent.  This information may be verified 
on our website at www.OhioSoS.gov 
  
If the current statutory agent's name or address is incorrect, then please submit a Statutory Agent 
Update form (Form 521), to correct the corporate record. Note: this form may not be used to appoint a 
new statutory agent. 
  
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: 11/2021