Toll Free: (877) SOS-FILE (877-767-3453)  |  Central Ohio: (614) 466-3910  
                                   www.OhioSecretaryofState.gov  |  Busserv@OhioSecretaryofState.gov 
                                   File online or for more information: www.OHBusinessCentral.com

                                   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 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.

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 530B                                 Page 1 of 6                             Last Revised: 10/01/2017

Form 530B Prescribed by:                 Toll Free: (877) SOS-FILE (877-767-3453)                        Mail this form to one of the following: 
                                         Central Ohio: (614) 466-3910                                    Regular Filing (non expedite) 
                                                                                                         P.O. Box 670 
                                         www.OhioSecretaryofState.gov 
                                                                                                         Columbus, OH  43216 
                                         Busserv@OhioSecretaryofState.gov 
                                                                                                         Expedite Filing (Two business day processing time.  
                                         File online or for more information:                            P.O. Box 1390    Requires an additional $100.00.)
For screen readers, follow instructions located at this path.                  www.OHBusinessCentral.com Columbus, OH  43216

   Foreign Nonprofit Corporation Application For License 
                                                             Filing Fee: $99 
                                                             (152-FLN) 
                                                             Form Must Be Typed
  
This application is made to procure a:       Permanent License                                           Temporary License (valid for six months)

Attach Certificate of Good Standing from the jurisdiction of formation (see instructions)

Name of Corporation  
                                   (Name must match the name on the Certificate of Good Standing) 
  
Jurisdiction of Formation           
  
                                   State Country
Address of the principal office (non-Ohio) is 
  
           Mailing Address
           
           City                                                          State                           Country             ZIP Code
  
 Location of the principal office in Ohio is 
  
           Mailing Address
  
           City                                                                                          State           ZIP Code
  
The corporate purpose it proposes to exercise in the state of Ohio: 
  
Form 530B                                                    Page 2 of 6                                                    Last Revised: 10/01/2017

                                                 Appointment of Agent
The corporation hereby appoints the following as its statutory agent upon whom process against the         
corporation may be served in Ohio.       
 
   Agent Name
  
   Mailing Address
  
                                                                                          Ohio
  
   City                                                                                  State        ZIP Code
  
        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.   an agent is not appointed, or   
        B.   an agent is appointed but the authority of that agent has been revoked, or   
        C.   the agent cannot be found or served after the exercise of reasonable diligence.               
 
        Pursuant to Ohio Revised Code 1703.29(A), a foreign corporation may be required to pay an additional $250 fee if  
        the application is being made to enable the corporation to prosecute or defend a legal action.  Please see the Ohio  
        Revised Code or Instructions for more information.
  
            No,  the corporation is not filing for this purpose and an additional fee is not included.
  
            Yes,  the application is being filed for this purpose and the additional $250 fee is included with the filing fee.
         
        If yes then: 
        Pursuant to Ohio Revised Code 1703.29 (B), a foreign corporation that began transacting business in Ohio prior to  
        2009 without a license may be required to provide a certificate from the tax commissioner which states that the    
        corporation has paid all franchise taxes which it should have paid had it qualified to do business in this state. 
  
        Did the corporation begin transacting business in Ohio prior to 2009 without obtaining a license?
            Yes, the Certificate of Tax Clearance from the tax commissioner is attached.

            No, the corporation began transacting business in 2009 or later, therefore, a Certificate of Tax Clearance is 
            not required.

Form 530B                                                 Page 3 of 6                                     Last Revised: 10/01/2017

                                          , being first duly sworn, deposes and says that he/she is the  
  Name of Officer
  
                                          of  
  Officer Title                                    Corporation
  
   the corporation described in the foregoing application, and that the statements contained in said application are true  
   and correct to best of my knowledge and belief. 
  
                 Name
  
                 Signature
  
   Sworn before me and subscribed on  
                                      Date
  
                                      Notary Public
  
   NOTARY SEAL                                                 Expiration Date of Notary's Commission

                                                               Date

Form 530B                                          Page 4 of 6     Last Revised: 10/01/2017

Application for Foreign Nonprofit Corporation Application for License 
                                                      
This form should be used to apply for a license to do business as a foreign nonprofit corporation.   
  
Please select the appropriate box to indicate whether the application is being made to obtain a 
temporary or a permanent license. A temporary license allows a corporation to transact business in 
Ohio for a period of six months. Pursuant to Ohio Revised Code §1703.13, no foreign corporation 
shall be granted more than two temporary licenses within any period of three years. A permanent 
license allows a corporation to transact business in Ohio until the license is cancelled or surrendered. 
Please complete the entire form (as applicable) whether you have selected a temporary or 
permanent license. 
  
Certificate of Good Standing 
Pursuant to Ohio Revised Code §1703.27, to obtain a license to transact business in Ohio, a foreign 
nonprofit corporation must file a certificate of good standing or subsistence, setting forth the exact 
corporate title and the fact that the corporation is in good standing or is a subsisting corporation, 
certified by the secretary of state, or other proper official, of the state under the laws of which the 
corporation was incorporated. 
  
General Corporation Information 
Please state the name of the corporation. Also, provide the name of the jurisdiction under the laws of 
which it was incorporated (jurisdiction of formation). Pursuant to Ohio Revised Code §1703.27(C) 
and (E), provide the complete address of the corporation's principal office (non-Ohio) and the 
complete address of the principal office in Ohio.    
  
Purpose Clause 
Pursuant to Ohio Revised Code §1703.27(D), please state the corporate purpose or privileges it 
proposes to exercise in Ohio.  
  
Original Appointment of Statutory Agent 
Pursuant to Ohio Revised Code §1703.41, a foreign nonprofit corporation that is licensed to transact 
business in Ohio must appoint and maintain an agent to accept service of process on behalf of the 
corporation. The statutory agent must be one of the following: (1) A natural person who is a resident 
of this state; or (2) A domestic or foreign corporation, nonprofit corporation, limited liability company, 
partnership, limited partnership, limited liability partnership, limited partnership association, 
professional association, business trust, or unincorporated nonprofit association that has a business 
address in this state. If the agent is a business entity then the agent must meet the requirements of 
Title XVII of the Revised Code to transact business or exercise privileges in Ohio.   
  
By completing and signing the form, the corporation agrees to the statements listed below the 
statutory agent appointment. This gives consent to service of process on the agent so long as the 
authority of the agent continues. Also, the corporation agrees to service of process upon the 
secretary of state if (1) the agent cannot be found; (2) the corporation fails to designate another 
agent when required to do so; (3) or the corporation's license to do business in Ohio expires or is 
cancelled.

Form 530B                               Page 5 of 6                                   Last Revised: 10/01/2017

Incorporating to Prosecute or Defend Legal Action 
Pursuant to Ohio Revised Code §1703.29(A), the failure of a foreign corporation to obtain a license in 
Ohio does not affect the validity of any contract formed by the corporation. However, a foreign 
corporation which should have obtained a license must file for a license and pay an additional $250 
fee in order to prosecute or defend any legal action arising at the time it was not licensed to transact 
business in this state. 
  
Corporation that has been Transacting Business in Ohio Without a License 
If the corporation began transacting business in Ohio prior to 2009 without obtaining a license, the 
corporation must attach a certificate from the tax commissioner which states that the corporation has 
paid off all franchises taxes which it should have paid had it qualified to do business in Ohio at the 
time it began to do so. The tax department refers to this as a “D4 Certificate” and it may be obtained 
by contacting the Ohio Department of Taxation at 1-888-405-4089. 

Additional Provisions 
If the information you wish to provide for the record does not fit on the form, please attach additional 
provisions on a single-sided, 8 ½ x 11 sheet(s) of paper. 
  
Signature 
After completing all information on the filing form, please make sure that page 3 is signed by an 
authorized officer of the foreign corporation and the signature(s) must be verified by a notary public. 
  
**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 530B                            Page 6 of 6                         Last Revised: 10/01/2017