FORM DC-12
B
R
WWW.
USINESS
1/2001
Nonrefundable Filing Fee: $50.00
STATE OF HAWAII
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 REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS
(Section 415-88 and -89, 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 name of the corporation is:
_________________________________________________________________________________________________
2.
The Statement of Intent to Dissolved was filed on: _________________________________________________________
(Month
Day
Year)
3.
Attached is a list of the names, office held, and addresses of all of the officers and directors of the corporation.
4.
The resolution approving the revocation of voluntary dissolution proceedings was adopted (check one):
at a meeting of the shareholders held on
____________________________________________________________________ .
(Month
Day
Year)
Total Number of Shares
Number of Shares Voting For
Number of Shares Voting
Class/Series
Outstanding
Resolution
Against Resolution
OR
by written consent dated
which all of the shareholders signed.
__________________________________________________
(Month
Day
Year)
We certify under the penalties of Section 415-136, Hawaii Revised Statutes, 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. The statement must be signed by two individuals who are officers of the
corporation.