Form 521Page 1 of 6 Last 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 Form 521Page 2 of 6 Last Revised: 06/2019Form 521 Prescribed by:Statutory Agent Update Filing Fee: $25 Form Must Be Typed (CHECK ONLY ONE(1) BOX) (1) Subsequent Appointment of Agent (2) Change of Address of an Agent (3) Resignation of Agent Real Estate Investment Trust (153-LAG) Business Trust (153-LAG) Partnership (153-LAG) LLC (153-LAG) LP (155-AGR) Corp (155-AGR) Corp (145-AGA) LP (145-AGA) LLC (144-LAD) Business Trust(144-LAD) Real Estate Investment Trust (144-LAD) Corp (165-AGS) LP (165-AGS) LLC (171-LSA) Business Trust(171-LSA) Real Estate Investment Trust (171-LSA) Name of Entity Charter, License or Registration No. Name of Current Agent Name and Address of New Agent Complete the information in this section if box (1) is checked Name of Agent Mailing Address City State ZIP CodeToll 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 788 Columbus, OH 43216 Expedite Filing (Two business day processing time. Requires an additional $100.00) P.O. Box 1390 Columbus, OH 43216 For screen readers, follow instructions located at this path. American LegalNet, Inc. www.FormsWorkFlow.com Form 521Page 3 of 6 Last Revised: 06/2019 The Undersigned, , named herein as the statutory agent for , hereby acknowledges and accepts the appointment of statutory agent for said entity. Individual Agent's Signature/Signature on behalf of Business Serving as Agent Complete the information in this section if box (1) is checked and business is an Ohio entity Name of Agent Name of Business Entity Signature: New Address of Agent Complete the information in this section if box (2) is checked Mailing Address City State ZIP Code ACCEPTANCE OF APPOINTMENT FOR DOMESTIC ENTITY'S AGENT The agent of record for the entity identified on page 1 resigns as statutory agent. Current or last known address of the entity's principal office where a copy of this Resignation of Agent was sent as of the date of filing or prior to the date filed. Complete the information in this section if box (3) is checked Zip Code State City Mailing Address American LegalNet, Inc. www.FormsWorkFlow.com Form 521Page 4 of 6 Last Revised: 06/2019 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 Agent update must be signed by an authorized representative (see instructions for specific information). 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 Form 521Page 5 of 6 Last Revised: 06/2019Instructions for Statutory Agent UpdateThis form should be used to update statutory agent information for a corporation, limited partnership, limited liability company, partnership or business trust. If a corporation, limited partnership or limited liability company or business trust would like to appoint a new statutory agent, please select box 1. If a corporation, limited partnership, limited liability company, or business trust would like to change the address of the current agent, please select box 2. If the agent of a corporation, limited partnership, limited liability company, partnership, or business trust would like to resign from their position, please select box 3. A partnership and limited liability partnership must complete a statement of amendment to appoint a new agent or change the address of the current agent. Entity Information The corporation, limited partnership, limited liability company, partnership, or business trust must provide its name, charter/license/registration number and the name of the current agent. The current agent's name must be the same as the agent listed in our office's records. Appointment of New Agent Pursuant to Ohio Revised Code sections 1701.07, 1702.06, 1703.041, 1782.04, 1705.06 and 1746.04, a corporation, limited partnership, limited liability corporation and business trust must appoint and maintain a statutory agent to accept service of process on behalf of the entity. The statutory agent must be one of the following:240(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. If the entity is a domestic corporation, limited liability partnership, limited liability company or business trust, the statutory agent must sign the Acceptance of Appointment on Page 2. The agent of a foreign entity does not have to accept appointment by signing the form. Change of Address of an Agent Pursuant to Ohio Revised Code sections 1701.07, 1702.06, 1703.041, 1782.04, 1705.06 and 1746.04, a corporation, limited partnership, limited liability company and business trust must appoint and maintain a statutory agent to accept service of process on behalf of the entity. The statutory agent must be one of the following:240(1) A natural person who is a resident of this state; or (