FORM FC-1
7/2010
Nonrefundable Filing Fee
Profit: $50.00
*FC1*
Nonprofit: $25.00
STATE OF HAWAII
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Business Registration Division
Clear Form
335 Merchant Street
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
Phone No. (808) 586-2727
APPLICATION FOR CERTIFICATE OF AUTHORITY FOR FOREIGN CORPORATION
(Section 414-433, 414D-273, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, duly authorized officer(s) of the corporation submitting this application, certify as follows:
Profit
Nonprofit
1.
The corporation is (check one):
(F/$50/B11)
(F$25/B53)
2.
Attached is an original certificate of good standing or other similar record duly authenticated by the proper officer
of the state or country of incorporation and dated not more than sixty (60) days prior to the filing of this
application. If the certificate of good standing or other similar record is in a foreign language, a translation under
the oath of the translator accompanies the certificate.
3.
The name of the corporation is:
(Name must be exactly as stated on Certificate of Good Standing including spacing and punctuation)
4.
The corporation was incorporated in:
5.
The corporation was incorporated on:
(Month
Day
Year)
6.
Mailing address of the principal office:
7.
The corporation shall have and continuously maintain in the State of Hawaii a registered agent who shall have a business
address in this State. The agent may be an individual who resides in this State, a domestic entity or a foreign entity
authorized to transact business in this State.
a.
The name (and state or country of incorporation, formation or organization, if applicable) of the corporation's
registered agent in the State of Hawaii is:
(State or Country)
(Name of Registered Agent)
b.
The street address of the place of business of the person in State of Hawaii to which service of process and other
notice and documents being served on or sent to the entity represented by it may be delivered to is:
8.
List the names, office held and addresses of all the officers and directors of the corporation. Attach additional names if more
space is needed.
ADDRESS
OFFICE HELD
NAME