Please make checks or money orders payable to: "Ohio Secretary of State"
Type of Service Being Requested: (PLEASE CHECK ONE BOX BELOW)
Phone Number:
State:
City:
Address:
(If necessary)
To the attention of:
(Individual or Business Name)
Name:
Please return the approval certificate to:
ZIP Code:
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.
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.
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 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.
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.
Preclearance Filing: For the purpose of advising as to the acceptability of the proposed filing, a form that is
to be submitted at a later date for processing may be submitted for examination for a fee of $50.00. The
Preclearance will be complete within 1-2 business days.
Last Revised: 5/14/2014
Foreign Nonprofit Corporation Application For License
Filing Fee: $99
(152-FLN)
Form Must Be Typed
Form 530B Page 1 of 3 Last Revised: 9/24/2015
This application is made to procure a:
Permanent License Temporary License (valid for six months)
Name of Corporation
(Name must match the name on the Certificate of Good Standing)
Address of the principal office (non-Ohio) is
Location of the principal office in Ohio is
The corporate purpose it proposes to exercise in the state of Ohio:
Jurisdiction of Formation
Mailing Address
City State ZIP Code
Attach Certificate of Good Standing from the jurisdiction of formation (see instructions)
ZIP Code
Mailing Address
City State
Form 530B Prescribed by:
Form 530B Page 2 of 3 Last Revised: 9/24/2015
Appointment of Agent
The corporation hereby appoints the following as its statutory agent upon whom process against the
corporation may be served in Ohio.
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.
Agent Name
Mailing Address
City State ZIP Code
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 D4 certificate from the tax commissioner is attached.
No, the corporation began transacting business in 2009 or later, therefore, a D4 certificate is not required.
Form 530B Page 3 of 3 Last Revised: 9/24/2015
, being first duly sworn, deposes and says that he/she is the
of
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.
Sworn before me and subscribed on
NOTARY SEAL Expiration Date of Notary's Commission
Name of Officer
Officer Title
Corporation
Name
Signature
Date
Notary Public
Date
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.
Application for Foreign Nonprofit Corporation Application for License
Last Revised: 9/24/2015
Form 530B
Last Revised: 9/24/2015Form 530B
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.