Form X-3 - Business Registration Correction Form - Hawaii 2008
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1
2FORM X-3
7/2008
Nonrefundable Filing Fee:
STATE OF HAWAII
Profit Corporation: $25.00
*X3*
Nonprofit Corporation: $10.00
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
General Partnership: $10.00
Business Registration Division
LLP: $25.00
Limited Partnership: $10.00
335 Merchant Street
LLLP: $10.00
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
LLC: $25.00
Phone No. (808) 586-2727
Clear Info
CORRECTION
(Section 414-15, 414D-7, 425-1.7, 425-167, 425E-207, 428-207, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
1.
The entity is (check one):
Profit Corporation
Nonprofit Corporation
General Partnership
Limited Liability Partnership
(F/$25/B14)
(F/$10/B14)
(F/$10/B33)
(F/$25/L34)
Limited Partnership
Limited Liability Limited Partnership
Limited Liability Company
(
F/$10/B34)
(F/$10/B34)
(F/$25/L14)
2.
Name of business entity:
________________________________________________________________________________________
(Corporation, Partnership, LLC Name)
3.
Describe the document to be corrected, including the date the document was filed with the Department of Commerce and
Consumer Affairs, or attach a copy of the document to be corrected.
4.
Specify the incorrect statement and give the reason it is incorrect or describe the manner in which the document was
defectively executed, attested, sealed, verified, or acknowledged.
5.
The incorrect statement or defective execution is corrected as follows or as attached hereto:
I/we certify under the penalties of Section 414-20, 414D-12, 425-13, 425-172, 425E-208 and 428-1302, Hawaii Revised
Statutes, as applicable, that I/we have read the above statements, I/we are authorized to make this change, and that the
statements are true and correct.
Signed this ____________day of ___________________________________, __________
_______________________________________________________
________________________________________________________
(Type/Print Name & Title)
(Type/Print Name & Title)
_______________________________________________________
________________________________________________________
(Signature)
(Signature)
SEE INSTRUCTIONS ON REVERSE SIDE.
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