242 Federal Plaza West Suite 405 Youngstown, OH 44503 Office: (330) 797-2556 Fax: (330) 797-2559 Bernie Profato Executive Director State of Ohio OHIO ATHLETIC COMMISSION To whom it may concern: Enclosed you will find the required Athlete Agent registration packet. This i l e a t fr s n nee i om t nfrni da aet ap ct na w l n u s l h om ad edd n r ao o i v ul gn s plao s e cd l e f i di ’ i i l as business entities. If you are a business entity and are registering individual agents, please feel free to photocopy this registration packet. Make sure the application is completed in its entirety and that all directions have been followed. All applicants will receive a certificate with that will include their name, starting and expiration date of their license. All registered Athlete Agent names will be placed on our web site at: http://aco.ohio.gov. This list will be updated every thirty (30) to (60) days. If there are any questions please feel free to contact the Athletic commission at the above phone numbers. MAKE ALL CHECKS PAYABLE: Treasurer State of Ohio Yours in sports, Bernie Profato Bernie Profato Executive Director PAGE 1 OF 24 American LegalNet, Inc. www.FormsWorkflow.com 242 Federal Plaza West Suite 405 Youngstown, OH 44503 Office: (330) 797-2556 Fax: (330) 797-2559 Bernie Profato Executive Director State of Ohio OHIO ATHLETIC COMMISSION ATHLETE AGENT INSTRUCTIONS FOR REGISTRATION STATUTORY AUTHORITY: Pursuant to Chapter 4771 of the Ohio Revised Code, any person who practices as an athlete agent in the state of Ohio must be licensed by the Ohio Athletic Commission. Such license is not transferable. REGISTRATION REQUIREMENTS: All the following must be checked and submitted to: Ohio Athletic Commission 242 Federal Plaza West Suite 405 Youngstown, OH 44503 Failure to file this information may result in the denial of your registration as an Athlete Agent. 1. A completed Athlete Agent application __________ Individual Application: __________ Business Entity Application 2. License Fee: __________ $500 – Individual license (License expires 2 years) __________ $500 – Business Entity Application (License expires 2 years) (Make check payable to: TREASURER STATE OF OHIO) 3. Proof of one of the following: __________ A surety bond in the amount of fifteen thousand dollars ($15,000.00) in favor of the state of Ohio for the benefit of any individual who is injured by any violation of Chapter 4771 of the Ohio revised Code or rules adopted there under. American LegalNet, Inc. www.FormsWorkflow.com __________ A certificate of deposit in favor of or a savings account assigned to, the state of Ohio in the amount of Ohio in the amount of fifteen thousand dollars ($15,000.00) for the benefit of any individual who is injured by any violation of Chapter 4771 of the Ohio Revised Code or rules adopted there under. __________ Certification from an insurance carrier indicated that the athlete agent applying for the license has obtained professional malpractice insurance in an amount equal to, greater than fifty thousand dollars ($50,000.00) or a lesser amount after receiving approval from the Ohio Athletic Commission.  Upon approval of a completed registration application, the applicant will be issued a certificate of registration which is valid for two (2) years from the date of issuance  An application for renewal shall be filed not less than thirty (30) days prior to the expiration date of the issued certificate and is subject to the same requirements as stated herein.  A Ycag it ap cn s r c abs es dr s ute N hnen h plat pi i l ui s ade m sb e i ’ np n s reported to the Ohio Athletic Commission within thirty (30) days of changing address.  Applicants and registered Athlete Agents are subject to all rules and regulations bearing agency-level 4771 of the Ohio revised code. American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com