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Continued Existence Of Non-Profit Corporation 522 - Ohio
| Continued Existence Of Non-Profit Corporation Form. This is a Ohio form and can be used in Corporations Secretary Of State . |
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Form 522 Prescribed by the: Ohio Secretary of State Central Ohio: (614) 466-3910 Toll Free: (877) SOS-FILE (767-3453) www.OhioSecretaryofState.gov Busserv@OhioSecretaryofState.gov Mail this form to one of the following: Regular Filing (non expedite) P.O. Box 788 Columbus, OH 43216 Expedite Filing (Two-business day processing time requires an additional $100.00). P.O. Box 1390 Columbus, OH 43216 Statement of Continued Existence Filing Fee: $25 CHECK ONLY ONE (1) Box (1) Statement of Continued Existence (163-CCE) (Domestic Nonprofit Corporation) (2) Verification of Foreign Nonprofit (173-FCE) (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 Date of Incorporation Date Complete the information in this section if box (2) is checked County Date of Qualification in Ohio Date Jurisdiction of Formation Jurisdiction Location of Office NOT in Ohio Mailing Address City Location of Office IN Ohio Mailing Address State Zip Code Ohio City Form 522 Page 1 of 2 State Zip Code Last Revised: 2/6/12 American LegalNet, Inc. www.FormsWorkFlow.com 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 signed by a director, officer, or three members in good standing. 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 Signature By (if applicable) Print Name Form 522 Page 2 of 2 Last Revised: 2/6/12 American LegalNet, Inc. www.FormsWorkFlow.com 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 ยงยง1702.59 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 location of the principal office in Ohio; and (4) the location of the principal office outside of Ohio. Statutory Agent Please provide the name and address of the current statutory agent. This information may be verified on our website at www.OhioSecretaryofState.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 Last Revised: 2/6/12 American LegalNet, Inc. www.FormsWorkFlow.com
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