Page 1 of 4Form 566Last 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 566Last 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 Statement of Correction (Partnership / Limited Liability Partnership) Filing Fee: $50 (190-PSC) Form Must Be Typed Statement Being Corrected Specify the inaccuracy or defect to be corrected Set forth the corrected portion of the statement Name of Partnership Registration Number Name of Statement Date Filed Form 566 Prescribed by: For screen readers, follow instructions located at this path. American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 4Form 566Last 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 an authorized 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 566Last Revised: 06/2019This form should be used to file a statement of correction if any statement filed with the secretary of state pursuant to Ohio Revised Code 2471776 is an inaccurate record of the action referred to in the statement, or that was defectively or erroneously executed. Name and Registration Number of the Partnership The name and registration number of the partnership must be provided. Name of Statement Being Corrected and Date Filed The statement of correction must state the name of the statement that the partnership intends to correct and also provide the date the original statement was filed with the secretary of state. Inaccuracy or Defect to be Corrected The partnership must specify the inaccuracy or defect to be corrected. Corrected Portion of the Statement Pursuant to Ohio Revised Code 2471776.12(A), the partnership may set forth the inaccurate or defective portion of the statement in corrected form. Pursuant to Ohio Revised Code 2471776.12(B), in lieu of filing a statement of correction, setting forth only the corrected portion of the statement, the partnership may file a corrected statement in the same manner as an original statement and pay a fee equal to the fee payable for an original statement. In order to do this, the statement of correction form must be completed to provide the secretary of state with the name of the entity, registration number, name of statement being corrected, date filed and the description of the inaccuracy or defect to be corrected. The partnership must then attach the original statement in corrected form and pay the fee required by the original statement. Note: The statement of correction is effective as of the date the original statement was filed, except as to persons who are substantially and adversely affected by the correction, for whom the statement of correction is effective from its filing date. 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. **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. Instructions for Statement of Correction American LegalNet, Inc. www.FormsWorkFlow.com