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Agent Notification Form For Unincorporated Nonprofit 580 - Ohio
| Agent Notification Form For Unincorporated Nonprofit Form. This is a Ohio form and can be used in General Secretary Of State . |
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Please return the approval certificate to: Name: (Individual or Business Name) To the attention of: (If necessary) Address: City: State: Phone Number: ZIP Code: E-mail Address: Check here if you would like to receive important notices via e-mail 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 e-mail when any document is filed on your business record. 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: For the purpose of advising as to the acceptability of the proposed filing, a form that is to be submitted at a later date for processing may be submitted for examination for a fee of $50.00. The Preclearance will be complete within 1-2 business days. American LegalNet, Inc. www.FormsWorkFlow.com Makes checks payable to Ohio Secretary of State Form 580 Prescribed by: JON HUSTED Ohio Secretary of State Mail this form to one of the following: Regular Filing (non expedite) P.O. Box 670 Columbus, OH 43216 Expedite Filing (Two-business day processing time requires an additional $100.00). P.O. Box 1390 Columbus, OH 43216 Central Ohio: (614) 466-3910 Toll Free: (877) SOS-FILE (767-3453) www.OhioSecretaryofState.gov Busserv@OhioSecretaryofState.gov Agent Notification Form for Unincorporated Nonprofit Associations Filing Fee: $25 (1) Original Appointment of Agent (191-UNO) (2) Change of Address of Agent (144-UNA) (3) Resignation of Agent (153-UNR) (4) Revocation and Appointment of New Agent (171-UNS) Name of Unincorporated Nonprofit Association Registration No. (if previously registered) If box (1) is checked above, please complete the following information Name and Address of Agent Name of Agent Mailing Address Ohio City State ZIP Code ACCEPTANCE OF APPOINTMENT The Undersigned, Name of Agent ,named herein as the statutory agent for Name of Business Entity ,hereby acknowledges and accepts the appointment of statutory agent for said entity. If an agent is an individual using a P.O. Box, the agent must check this box to confirm that the agent is an Ohio resident. Form 580 Signature Individual Agent's Signature/Signature on behalf of Corporate Agent Page 1 of 3 Last Revised: 5/10/12 American LegalNet, Inc. www.FormsWorkFlow.com Complete the information in this section if box (2) is checked. New Address of Agent Mailing Address Ohio City State ZIP Code If an agent is an individual using a P.O. Box, the agent must check this box to confirm that the agent is an Ohio resident. Complete the information in this section if box (3) is checked. The agent of record for the entity identified on page 1 resigns as statutory agent. Current of last known address of the entity's principal office where a copy of this Resignation of Agent was sent as of the date of filing or prior to the date filed. Mailing Address City State ZIP Code Complete the information in this section if box (4) is checked. The above-named entity revokes the appointment of: And hereby appoints the following: Name and Address of New Agent Name of Agent Mailing Address Name of Current Agent Ohio City State ZIP Code ACCEPTANCE OF APPOINTMENT The Undersigned, Name of Agent ,named herein as the statutory agent for Name of Business Entity ,hereby acknowledges and accepts the appointment of statutory agent for said entity. If an agent is an individual using a P.O. Box, the agent must check this box to confirm that the agent is an Ohio resident. Form 580 Signature Individual Agent's Signature/Signature on behalf of Corporate Agent Page 2 of 3 Last Revised: 5/10/12 American LegalNet, Inc. www.FormsWorkFlow.com 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 Agent notification must be signed by a person authorized to manage the affairs of the unincorporated nonprofit association. If authorized representative is an individual, then they must sign in the "signature" box and print their name in the "Print Name" box. If authorized representative is a business entity, not an individual, then please print the business name in the "signature" box, an 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 Signature By (if applicable) Print Name Form 580 Page 3 of 3 Last Revised: 5/10/12 American LegalNet, Inc. www.FormsWorkFlow.com Instructions for Agent Notification Form for Unincorporated Nonprofit Associations This form should be used for an unincorporated nonprofit association that wishes to file a statement in the office of the secretary of state appointing an agent authorized to receive service of process on behalf of the unincorporated nonprofit association. This form should also be used to update statutory agent information for an unincorporated nonprofit association that has previously filed a statement appointing an agent. Pursuant to Ohio Revised Code section 1745.13(A), the agent must be one of the following: (1) an Ohio resident; (2) an Ohio corporation; or (3) a foreign corporation that is licensed to do business in Ohio. If an unincorporated nonprofit association is f
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