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 543A                                 Page 1 of 4                             Last Revised: 10/01/2017

Form 543A 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 1329 
                            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.

                    Domestic Limited Liability Company Certificate of 
                            Amendment or Restatement 
                                                              Filing Fee: $50 
                                                              Form Must Be Typed 

 (CHECK ONLY ONE (1) BOX)
(1)  Domestic Limited Liability Company                       (2)  Domestic Limited Liability Company 
                                                                
    Amendment (129-LAM)                                                   Restatement (142-LRA)

          Date of Formation                                                   Date of Formation 
           (MM/DD/YYYY)                                                       (MM/DD/YYYY)

The undersigned authorized representative of:

    Name of Limited Liability Company

    Registration Number

  If box (1) Amendment is checked, only complete sections that apply.  If box (2) Restatement is checked, all  
  sections below must be completed.   
  
    The name of said limited liability company shall be: 
  
    Name must include one of the following words or abbreviations: "limited liability company," "limited," "LLC," "L.L.C.,"  
    "ltd." or "ltd" 
  
This limited liability company shall exist for a period of: 
                                                              Period of Existence
  
    Purpose
  
Form 543A                                                     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 a member,   Signature
manager or other 
representative. 
 
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

                              Signature

                              By (if applicable)

                              Print Name

Form 543A                               Page 3 of 4  Last Revised: 10/01/2017

          Instructions for Limited Liability Company Certificate of Amendment or 
                                       Restatement

This form should be used if you wish to file an amendment or restatement to the articles of 
organization for a domestic limited liability company.  
  
Pursuant to Ohio Revised Code §1705.08, the articles of organization of a limited liability company 
may be amended at any time, but a certificate of amendment amending the articles of organization 
shall be filed within thirty days after the occurrence of any of the following:  (1) the name of the limited 
liability company is changed; (2) the period of the limited liability company's duration is changed; or (3) 
any other information that is set forth in the articles of organization is changed.  An authorized 
representative of the limited liability company must file an amendment upon discovering that a 
statement in the articles of organization was materially false when made or that any other information 
set forth in the articles of organization has changed making the articles materially inaccurate.   
  
The articles of organization of a limited liability company may be restated at any time by filing a 
restatement of the articles of organization.   
  
If you wish to file an amendment, please select box 1.  If you wish to file a restatement, please select 
box 2.  As required by Ohio Revised Code §1705.08 (C)(1)(b), indicate the date of the filing of the 
limited liability company's articles of organization that are being amended. 
  
Name of Limited Liability Company 
Indicate the name of the limited liability company and the registration number.  If you choose to change 
the name of the limited liability company, the name must include one of the following:  “limited liability 
company,” “limited,” “LLC,” “L.L.C.,” “ltd.” or “ltd”, pursuant to Ohio Revised Code §1705.05. 
  
Period of Existence 
A period of existence may be provided but is not required.  Pursuant to Ohio Revised Code §1705.04
(B), if a period of existence is not provided in the articles the limited liability company's period of 
existence is perpetual. 
  
Purpose Clause 
A purpose clause may be provided but is not required.  As stated in Ohio Revised Code §1705.02, a 
limited liability company may generally “be formed for any purpose or purposes for which individuals 
lawfully may associate themselves.” 
  
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(s) 
 After completing all information on the filing form, please make sure that page 2 is signed by at least 
one authorized representative of the limited liability company. 
           
**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 543A                              Page 4 of 4                           Last Revised: 10/01/2017