Form Fllc-1 - Application For Certificate Of Authority (Page 2 of 2) in pdf

Form Fllc-1 - Application For Certificate Of Authority Page 2

FORM FLLC-1

7/2000

The company is (check one):

Manager-managed, and the name and address of each manager is listed below.

Member-managed, and the name and address of each member is listed below.

______________________________________________

The members of the company (check one):

Shall not be liable for the debts, obligations and liabilities of the company.

Shall be liable for some or all, as stated below, of the specified debts, obligations and liabilities of the company, and

have consented in writing to the adoption of this provision or to be bound by this provision.

______________________________________________________________________________________________

Attached is an original certificate of existence or a record of similar import, authenticated by the proper government official

having custody of the company records in the state or country under whose laws it is organized, and dated not more than

thirty (30) days prior to the filing of this application. If the certificate is in a foreign language, a translation under oath of the

translator is attached.

I certify under the penalties set forth in the Hawaii Uniform Limited Liability Company Act, that I have read the above statements

and that the same are true and correct.

Signed this ____________day of ___________________________________, __________

_________________________________________________

(Type/Print Name & Title)

_________________________________________________

(Signature)

SEE INSTRUCTIONS PAGE. 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.

Form Fllc-1 - Application For Certificate Of Authority Page 2