Form Fc-1 - Application For Certificate Of Authority For Foreign Corporation Page 2

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FORM FC-1
7/2010
9.
For nonprofit corporation only. Please check one:
The corporation has members.
The corporation has no members.
We certify under the penalties of Section 414-20, 414D-12, Hawaii Revised Statutes, as applicable, that we have read the above
statements, we are authorized to sign this application, and that the above statements are true and correct.
,
Signed this
day of
(Type/Print Name & Title)
(Type/Print Name & Title)
(Signature of Officer)
(Signature of Officer)
SEE INSTRUCTIONS PAGE. Application must be signed by at least one officer of the corporation or by the chairperson of the board
of directors.

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