FORM FLLP-1
B
R
WWW.
USINESS
1/2001
Nonrefundable Filing Fees:
STATE OF HAWAII
Two-Nine Partners $1,000.00
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
10-49 Partners $5,000.00
50 or more partners $10,000.00
Business Registration Division
1010 Richards Street
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
Clear Form
STATEMENT OF FOREIGN QUALIFICATION
(Section 425-158, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned hereby certify, in accordance with the provisions of the Hawaii Limited Liability Partnership Act, as follows:
1.
The partnership was formed under laws other than the laws of the State of Hawaii and has the status of a limited
liability partnership under those laws.
2.
The name of the foreign limited liability partnership is:
_______________________________________________________________________________________________________________
(Name must end with Registered Limited Liability Partnership, Limited Liability Partnership, R.L.L.P., L.L.P., RLLP, or LLP.)
3.
The state or country of qualification for status as a limited liability partnership is: __________________________________
4.
The street address of the chief executive office is:
_________________________________________________________________
_______________________________________________________________________________________________________________
(Number, street, city, state, zip code)
and, if different, the street address of an office in Hawaii, if any is:
___________________________________________________
_______________________________________________________________________________________________________________
(Number, street, city, state, zip code)
5.
The name and street address of the partnership’s agent for service of process. The agent must be an individual resident of
Hawaii or other person qualified or registered to do business in Hawaii.
Name:
________________________________________________________________________________________________________
Street Address:
________________________________________________________________________________________________
6.
The partnership consists of ________________________ partners.
(Total no. of Partners)
I certify, under the penalties set forth in the Hawaii Limited Liability Partnership Act, that I have read the above statements and
that the same are true and correct.
Signed this ____________day of ___________________________________, __________
_____________________________________________________________________
(Type/Name of Partner)
By_____________________________________________________________________
(Partner Signature)
SEE INSTRUCTIONS ON REVERSE SIDE. This statement must be signed and certified by at least one partner.