Form Fllc-2 - Application For Certificate Of Cancellation - 2008 Page 2
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1
2FORM FLLC-2
7/2008
Instructions: Application must be typewritten or printed in black ink, and must be legible. The application must be signed and
certified by at least one manager of a manager-managed company or by at least one member of a member-managed company.
All signatures must be in black ink. Submit original application together with the appropriate fee.
Line 1. State the full name of the foreign limited liability company.
Line 2. Give the name of the state or country where it was organized.
Line 5. Give the complete mailing address (including city, state and zip code) where any process may be mailed to the foreign
limited liability company by the Director of Commerce and Consumer Affairs.
Line 6. Check whether the notice of intention to cancel was published or not. DO NOT CHECK BOTH.
If the notice was published once a week for four successive weeks in a publication circulated in the State of Hawaii, list
the four dates (month, days and year) of publication and the name of the publication in which the notice was published.
Filing Fees: Filing fee ($25.00) is not refundable. Make checks payable to DEPARTMENT OF COMMERCE AND
CONSUMER AFFAIRS. Dishonored Check Fee $25.00.
For any questions call (808) 586-2727. Neighbor islands may call the following numbers followed by 6-2727 and the # sign:
Kauai 274-3141; Maui 984-2400; Hawaii 974-4000, Lanai & Molokai 1-800-468-4644 (toll free).
Fax: (808) 586-2733
Email Address:
breg@dcca.hawaii.gov
NOTICE: THIS MATERIAL CAN BE MADE AVAILABLE FOR INDIVIDUALS WITH SPECIAL NEEDS. PLEASE CALL THE
DIVISION SECRETARY, BUSINESS REGISTRATION DIVISION, DCCA, AT 586-2744, TO SUBMIT YOUR REQUEST.
ALL BUSINESS REGISTRATION FILINGS ARE OPEN TO PUBLIC INSPECTION. (SECTION 92F-11, HRS)
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