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 530C                                 Page 1 of 4                    Last Revised: 10/01/2017

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

                            Registration of Corporation Name 
                            (Foreign For-Profit or Nonprofit) 
                                                             Form Must Be Typed

CHECK ONLY ONE (1) BOX
(1)  Registration of a Corporate Name by Unlicensed                                (2)         Registration of a Corporate Name by Unlicensed 
     Foreign Corporation                                                                       Foreign Corporation 
     Original (158-RCO)                                                                        Renewal (172-RNR (RCR)) 
                                                                                                 
     Filing Fee $39                                                                            Filing Fee $25          Registration No.

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

   Name of Corporation to be Registered / Renewed
  
                                                                                   (Name must match the name on the Certificate of Good Standing) 
    
  Jurisdiction of Formation 
    
                                                                                   Country
   Date of Incorporation in Jurisdiction of Formation 
  
                                                                                   Date of Incorporation
   Address of the corporation's principal office is 
  
     Mailing Address
  
     City                                                                                                             State                      ZIP Code
  
   The general nature of the business in which it is engaged is 
  
                                                                                                                                                                                 Previous Page Last Page
  
 The corporation is carrying on or doing business. 
  
Form 530C                                                                          Page 2 of 4                              Last Revised: 10/01/2017

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    
  
Must be signed by an          Signature
authorized officer of the 
applicant. 
 
If authorized representative  By (if applicable)
is an individual, then they 
must sign in the "signature" 
box and print their name 
in the "Print Name" box. 
                              Print Name
 
If authorized representative 
is a business entity, not an 
individual, then please print 
the business name in the 
"signature" box, an           Signature
authorized representative 
of the business entity 
must sign in the "By" box 
and print their name in the   By (if applicable)
"Print Name" box. 

                              Print Name

Form 530C                               Page 3 of 4  Last Revised: 10/01/2017

                     Instructions for Registration of Corporate Name

This form should be used to register or renew a foreign corporation's corporate name, if the corporate 
name is available for use in Ohio.   
  
If you wish to register a corporate name, please select box 1.  If you wish to renew a corporate name 
registration, please select box 2 and state the registration number in the box.  A name registration is 
effective for a term of one year from the date of registration. The same information is required to renew 
the name, as is required to register the name, including a certificate of good standing.   
  
Certificate of Good Standing 
Pursuant to Ohio Revised Code §1703.31(A)(7), the application shall be accompanied by a certificate 
stating that the corporation is in good standing under the laws of the jurisdiction of its incorporation.  The 
certificate must be executed by an official of the jurisdiction having custody of the records pertaining to 
corporations and dated not earlier than sixty days prior to the filing of the application.    
  
Name of the Corporation 
Pursuant to Ohio Revised Code §1703.31 please state the exact corporate name to be registered.   
  
General Corporation Information 
Please provide the name of the jurisdiction under the laws of which it was incorporated and the date of 
incorporation.  Also, please provide the complete address of the corporation's principal office.   
  
Purpose Clause 
Pursuant to Ohio Revised Code §1703.31(5) and (6), please state the general nature of the business in 
which corporate purpose or privileges it proposes to exercise in Ohio.  Also, by completing and signing 
the form, the corporation agrees to the statement on the form which states the corporation is carrying on 
or doing business.   
  
Signature 
After completing all information on the filing form, please make sure that page 2 is signed by an 
authorized officer of the applicant. 
  
**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 530C                            Page 4 of 4                    Last Revised: 10/01/2017