Page 1 of 4Form 543ALast Revised: 06/2019 Toll Free: 877.767.3453 | Central Ohio: 614.466.3910 OhioSoS.gov | business@OhioSoS.gov File online or for more information: OhioBusinessCentral.gov Filing Form Cover LetterPlease return the approval certificate to: Address: City: 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. Name (Individual or Business Name): To the Attention of (if necessary): State American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 4Form 543ALast Revised: 06/2019Toll Free: 877.767.3453 Central Ohio: 614.466.3910 OhioSoS.gov business@OhioSoS.gov File online or for more information: OhioBusinessCentral.gov Mail this form to one of the following: Regular Filing (non expedite) P.O. Box 1329 Columbus, OH 43216 Expedite Filing (Two business day processing time. Requires an additional $100.00) P.O. Box 1390 Columbus, OH 43216 (2) Domestic Limited Liability Company 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 Amendment (129-LAM) Restatement (142-LRA) Date of Formation (MM/DD/YYYY) Date of Formation (MM/DD/YYYY) The undersigned authorized representative of: Name of Limited Liability Company Registration Number 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: If box (1) Amendment is checked, only complete sections that apply. If box (2) Restatement is checked, all sections below must be completed. Period of Existence PurposeForm 543A Prescribed by: For screen readers, follow instructions located at this path. American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 4Form 543ALast Revised: 06/2019 Print Name By (if applicable) Signature Print Name By (if applicable) Signature Print Name By (if applicable) SignatureBy 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, manager or other representative. If authorized representative is an individual, then they must sign in the "signature" box and print their name in the "Print Name" box. If authorized representative is a business entity, not an individual, then please print the business name in the "signature" box, an authorized representative of the business entity must sign in the "By" box and print their name in the "Print Name" box. American LegalNet, Inc. www.FormsWorkFlow.com Page 4 of 4Form 543ALast Revised: 06/2019This 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 2471705.08, 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 2471705.08 (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: 223limited liability company,224 223limited,224 223LLC,224 223L.L.C.,224 223ltd.224 or 223ltd224, pursuant to Ohio Revised Code 2471705.05. Period of Existence A period of existence may be provided but is not required. Pursuant to Ohio Revised Code 2471705.04(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 2471705.02, a limited liability company may generally 223be formed for any purpose or purposes for which individuals lawfully may associate themselves.224 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, 8 275 x 11 sheet(s) of paper. Instructions for Limited Liability Company Certificate of Amendment or RestatementSignature(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:240 Our office cannot file or record a document that contains a social security number or tax identification number.240 Please do not enter a social security number or tax identification number, in any format, on this form. American LegalNet, Inc. www.FormsWorkFlow.com