Form Fc-3 - Statement Of Change Of Registered Agent'S Business Address Foreign Corporation 2001
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1B
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FORM FC-3
WWW.
USINESS
7/2001
Nonrefundable Filing Fee:
STATE OF HAWAII
Profit $50.00
Nonprofit $20.00
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Business Registration Division
1010 Richards Street
Clear Form
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
STATEMENT OF CHANGE OF REGISTERED AGENT’S BUSINESS ADDRESS
FOREIGN CORPORATION
(Section 414-438, 415B-130, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, registered agent for a foreign corporation registered in the State of Hawaii, certifies as follows:
1.
The corporation is (check one):
Profit
Nonprofit
(F/$50/B15)
(F/$20/B15)
2.
The name and state of incorporation of the corporation is:
________________________________________________________________________________________
_________________
(Corporation Name)
(State of Incorporation)
3.
My business address has been changed to:
______________________________________________________________________________________________________________
4.
The address of the corporation’s registered office and my business address is identical.
5.
A copy of this statement has been mailed to the above-named corporation.
I certify under the penalties of Section 414-20, 415B-158, Hawaii Revised Statutes, as applicable, that I have read the above
statements and that the same are true and correct.
Signed this ____________day of ___________________________________, __________
_________________________________________________________
_______________________________________________________
(Type/Print Name of Agent)
(Signature)
Office Held:
_________________________________________________
(If applicable)
Instructions: Statement must be typewritten or printed in black ink, and must be legible. The statement must be signed and certified by the
registered agent. If registered agent is a corporation, an authorized officer must sign. All signatures must be in black ink. Submit original
statement together with the appropriate fee(s).
Line 2.
State the full name of the corporation and its state of incorporation.
Line 3.
State the new business address of the agent. Give the number, street, city, state and zip code.
Filing Fees: Filing fees are not refundable. Make checks payable to DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS.
Foreign Profit ($50)
Foreign Nonprofit ($20)
Dishonored Check ($15 fee plus interest charge)
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.
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