Instructions for Biennial Report
This form must be used to file a biennial report for a domestic (Ohio) professional association or a
domestic or foreign limited liability partnership.
If you wish to file a biennial report for a domestic professional association, please select box 1.
Pursuant to Ohio Revised Code §1785.06, a professional association must file a biennial report in each
even-numbered year within thirty days after the thirtieth day of June. Please indicate the year of the
filing in box 1. Also, indicate the professional service which must be the same professional service for
which the association was organized.
If you wish to file a biennial report for a limited liability partnership, please select box 2.
Pursuant to Ohio Revised Code §1776.83, a limited liability partnership must file a biennial report
between the first day of April and the first day of July of each odd-numbered year. Please indicate the
year of the filing in box 2. If the limited liability partnership is a foreign entity registered in Ohio, please
also provide the jurisdiction of formation in the box.
Name of Entity and Charter or Registration Number
The name and charter or registration number of the professional association or limited liability
partnership must be provided.
Professional Association Requirements
For professional associations only, please provide the names and addresses of all of the shareholders in
the association. By completing this portion of the form, the corporation certifies that all of the
shareholders in the association are duly licensed, certified, or otherwise legally authorized within Ohio to
render the same professional service for which the association was organized.
Limited Liability Partnership Requirements
For limited liability partnerships only, please provide the street address of the partnership's chief
executive office and, if the partnership's chief executive office is not in Ohio, provide the street address
of any office of the partnership in this state. If the partnership does not have an office in Ohio, then
provide the name and address of the partnership's current agent for service of process.
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 by an
authorized representative. If the entity is a professional association, the report must be signed by an
officer of the association. If the entity is a limited liability partnership, the report must be signed by a
partner or an authorized representative of the partnership.
**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.
Last Revised: 2/6/12
Form 520
