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 525A                                 Page 1 of 4                             Last Revised: 10/01/2017

Form 525A 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 788 
                           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.)
                                             www.OHBusinessCentral.com              Columbus, OH  43216
For screen readers, follow instructions located at this path.

                           Reinstatement & Appointment of Agent 
                           For a Foreign or Domestic Corporation 
                           For Failure to Maintain a Statutory Agent 
                                                             (108-REN) & (111-FREA) 
                                                             Filing Fee: $25 
                                                              Form Must Be Typed 

  Name of Corporation
  
  Charter or License Number
 
  All corporations must complete this section
  
New Statutory Agent Name and Address 
  
  Name
  
  Mailing Address
  
                                                                             Ohio
  
  City                                                                       State  Zip Code
  
  Please check here to confirm that the agent is an Ohio resident, an Ohio corporation, or a foreign 
  corporation licensed under Ohio law.

Form 525A                                                    Page 2 of 4                                Last Revised: 10/01/2017

 Only Domestic Corporations must complete this section
                                                Acceptance of Appointment

  The Undersigned,                                                                                             , named herein as the
                       (Name of Statutory Agent)

  Statutory agent for
                       (Name of Corporation)

  hereby acknowledges and accepts the appointment of statutory agent for said corporation.

  Statutory Agent Signature

                              (Individual Agent's Signature / Signature on Behalf of Business Serving as Agent)

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   
  
Reinstatement must                          Signature
be signed by a corporate officer, 
or if a nonprofit corporation, 
then by an officer of three 
                                            By (if applicable)
members in good standing. 
 
If authorized representative 
is an individual, then they                 Print Name
must sign in the "signature" 
box and print their name 
in the "Print Name" box. 
 
If authorized representative                Signature
is a business entity, not an 
individual, then please print 
the business name in the 
                                            By (if applicable)
"signature" box, an 
authorized representative 
of the business entity 
must sign in the "By" box                   Print Name
and print their name in the 
"Print Name" box. 
  
                                            Signature

                                            By (if applicable)

                                            Print Name

Form 525A                                             Page 3 of 4                                              Last Revised: 10/01/2017

              Instructions for Reinstatement & Appointment of Agent

Instructions for Reinstatement & Appointment of Agent                 
  
This form should be used to file an application of reinstatement for a corporation whose articles have been 
canceled for failure to maintain a statutory agent.   
  
Entity Information  
The corporation must provide the name and charter or license number.  
  
Agent Information:  Pursuant to Ohio Revised Code §1701.07,1702.06, and 1703.041,a corporation 
must appoint and maintain a statutory 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. The statutory agent must also sign the Acceptance of 
Appointment on page 2.     
  
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 1/2 x 11 sheet(s) of paper.  
  
Signature(s)  
After completing all information on the filing form, please make sure that the form is signed. If the 
applicant is a corporation, the reinstatement form must be signed by a corporate officer.      
If the applicant is a nonprofit corporation, the reinstatement form must be signed by an officer or three 
members in good standing.     
  
**Note:  Our office cannot file or record a document that 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 525A                     Page 4 of 4                             Last Revised: 10/01/2017