Form Fllc-1 - Application For Certificate Of Authority
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1
2FORM FLLC-1
B
R
WWW.
USINESS
7/2000
STATE OF HAWAII
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Business Registration Division
1010 Richards Street
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
APPLICATION FOR CERTIFICATE OF AUTHORITY
(Section 428-1002, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, in accordance with the provisions of the Hawaii Uniform Limited Liability Company Act, certify as follows:
1.
The name of the limited liability company is:
_______________________________________________________________________________________________
(Name must be exactly as stated on Certificate of Existence including spacing and punctuation)
2.
Its state or country of organization is: ___________________________________________________________________
3.
The street address of its principal office is:
_________________________________________________________________________________________________
A list of the names and addresses of all members and their respective capital contributions are kept and will be kept at this
principal office until cancellation.
4.
The street address of its initial designated office in Hawaii is:
_________________________________________________________________________________________________
5.
The company shall have and continuously maintain in the State of Hawaii an agent and street address of the agent for
service of process on the company. (The agent must be an individual resident of Hawaii, a domestic corporation, or a
domestic limited liability company.)
a.
The name of the company’s initial agent for service of process is:
______________________________________________________________________________________________
b.
The street address of the agent for service of process is:
______________________________________________________________________________________________
6.
The period of duration is (check one):
At-will
For a specified term to expire on: ______________________________________________________
(Month
Day
Year)
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