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By 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. Names and Addresses of Partners OR Information Agent Information Pursuant to Ohio Revised Code 1776. 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. Signature By if applicable Instructions for Statement of...
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