Prescribed by J. Kenneth Blackwell Ohio Secretary of StateExpedite this Form: (Select One) Mail Form to one of the Following:PO Box 1390 Columbus, OH 43216Central Ohio: (614) 466-3910Toll Free: 1-877-SOS-FILE (1-877-767-3453)*** Requires an additional fee of $100 ***PO Box 670 e-mail: busserv@sos.state.oh.usNo YesColumbus, OH 43216FOREIGN CORPORATION APPLICATION FOR LICENSE www.state.oh.us/sosOR REGISTRATION OF CORPORATION NAME (For Foreign Profit or Non-Profit)THE UNDERSIGNED HEREBY STATES THE FOLLOWING:(CHECK ONLY ONE (1) BOX) (1) Foreign Corporation(2) Registration of Corporate Name by Unlicensed Foreign CorporationFor Profit (151-FLF)Original (158-RCO)Non-Profit (152-FLN)ORC 1703Renewal (172-RNR (RCR)) ORC 1703(Registration No.)Filing Fee $50.00Filing Fee $125.00Complete the general information in this section for the box checked above. Corporate Name Under the Laws of the State of(Home State)Date of Incorporation in Home State(Date)The corporation's principal office is located at(Street)NOTE: P.O. Box Addresses are NOT acceptable.(Zip Code)(State)(City)The corporate privileges it proposes to exercise in the state of Ohio are as follows: (Please provide a brief but specific description; a general purpose clause is not sufficient)The corporation is carrying on or doing business.Check here if additional provisions are attachedPage 1 of 5530Last Revised: Jan. 2002 2002 © American LegalNet, Inc.Complete the information in this section if box (1) is checked. The corporation hereby appoints the following as its statutory agent upon whom process against the corporation may be served in Ohio(Name)(Street)NOTE: P.O. Box Addresses are NOT acceptable.Ohio(Zip Code)(City)(State)The entity above irrevocably consents to service of process on the agent listed above as long as the authority of the agent continues, and to service of process upon the OHIO SECRETARY OF STATE if:A. the agent cannot be found or B. the above listed fails to designate another agent when required to do so, or C. the above stated registration to do business in Ohio expires or is cancelled.Complete the information in this section if profit is checked in box (1). The application is made to secure apermanenttemporary licenseThe corporation's principal office within Ohio is to be located inCorporation will not have an office in Ohio(Street)NOTE: P.O. Box Addresses are NOT acceptable.Ohio(County)(City)(State)(Zip Code)Has the corporation obtained a license to transact business in Ohio at any time in the past?No If yes, prior License No.Yesissued(Date)The date on which the corporation began transacting business in OhioDate ORWill begin business upon approval of application Is this application being made to enable the corporation to prosecute or defend a legal action?NoYesComplete the information in this section if non-profit is checked in box (1). The location of its principal office in the state of Ohio is(Street)NOTE: P.O. Box Addresses are NOT acceptable.Ohio(City)(County)(Zip Code)(State)(Pursuant to ORC 1703.27 must have an Ohio address)Page 2 of 5530Last Revised: Jan. 2002 2002 © American LegalNet, Inc.SS.IN WITNESS WHEREOF, the corporation has caused this application to be executed by an authorized officer on(Date)STATE OFCOUNTY OF,being first duly sworn, deposes and says that he/she is the(Name of Officer)of(title)the corporation described in the foregoing application, and that the statements contained in said application are true and correct to the best of my knowledge and belief.Signature:Name:Sworn to before me and subscribed in my presence,(date)(Notary Public)NOTARY SEALExpiration date of Notary's Commission:(date)Page 3 of 5530Last Revised: Jan. 2002 2002 © American LegalNet, Inc.Instructions for Foreign Application for LicenseFollow these instructionsI. No foreign profit/non-profit corporation shall exercise its corporate privileges in this state in a continual course of transactions until it hasfirst procured from the secretary of state a certificate authorizing it to do so.A. To procure such a license, such corporation also shall file with the secretary of state an application in such form as the secretaryof state prescribes, verified by the oath of any authorized officer of such corporation, setting forth, but not limited to:1. The name of the corporation;2. The name of the state under the laws of which it was incorporated;3. The location and complete address of its principal office;4. The name of the county and the municipal corporation or township in which its principal office within this state, if any, is to belocated. Foreign non-profit must have a location in Ohio.5. The appointment of a designated agent and the complete address of such agent;6. The irrevocable consent of such corporation to service of process on such agent so long as the authority of such agentcontinues and to service of process upon the secretary of state in the events provided for I section 1703.19 of the ORC.7. A brief summary of the corporate purposes to be exercised within this state.II. No such application for a license shall be accepted for filing if it appears that the name of the foreign corporation profit/non-profit isprohibited by law or is not distinguishable upon the records in the office of the secretary of state from the name of any other corporation, whether non-profit or for profit and whether that of a domestic corporation or of a foreign corporation authorized to transact business in this state, the name of a limited liability company registered in the office of the secretary of state pursuant to Chapter 1705. of the ORC, whether domestic or foreign, the name of any limited liability partnership registered in the office of the secretary of state pursuant to Chapter 1775 of the ORC, whether domestic or foreign, the name of any limited partnership registered in the office of the secretary of state pursuant to Chapter 1782. Of the ORC, whether domestic, foreign, or a trade name to which the exclusive right at the time in question is registered in the manner provided in Chapter 1329. of the ORC, unless there also is filed with the secretary of state, on a form prescribed by the secretary of state, the consent of the other entity or person to the use of the name, evidenced in a writing signed by any authorized officer of the other entity or authorized representative of the other person owning the exclusive right to the registered trade name.If an application for a license is not acceptable for filing solely
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