B
R
FORM FC-2
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, FOREIGN CORPORATION
(Section 414-438, 415B-130, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, duly authorized officers of the corporation submitting this statement, certify as follows:
1.
The corporation is (check one):
Profit
Nonprofit
(F/$50/B15)
(F/$20/B15)
2.
The name of the corporation is:
______________________________________________________________________________________________________________
3.
The corporation was incorporated in:
____________________________________________________________________________
4.
Name and address of its present registered agent.
Name:
___________________________________________________________________________________________________
Address:
_________________________________________________________________________________________________
5.
Name of its registered agent after the change is:
______________________________________________________________________________________________________________
6.
Complete address (including number, street, city, state, and zip code) of its registered agent after the change is:
______________________________________________________________________________________________________________
7.
The address of its registered office and the business address of its registered agent is identical.
8.
For foreign nonprofit corporation: The change(s) were authorized by a resolution, duly adopted by the corporation’s
board of directors.
We certify under the penalties of Section 414-20, 415B-158, Hawaii Revised Statutes, as applicable, that we have read the
above statements and that the same are true and correct.
Signed this ____________day of ___________________________________, __________
_______________________________________________________
________________________________________________________
(Type/Print Name & Title)
(Type/Print Name & Title)
_______________________________________________________
________________________________________________________
(Signature of Officer)
(Signature of Officer)
SEE INSTRUCTIONS ON REVERSE SIDE.
For profit corporations, application must be signed by at least one officer of the corporation or by the chairperson of the board of directors.
For nonprofit corporations, application must be signed by two individuals who are officers of the corporation.