FORM FLLC-1
B
R
WWW.
USINESS
7/2002
Nonrefundable Filing Fee: $100.00
*FLLC1*
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
APPLICATION FOR CERTIFICATE OF AUTHORITY
(Section 428-1002, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, in accordance with the provisions of the Hawaii Uniform Limited Liability Company Act, certify as follows:
1.
The name of the limited liability company is:
_______________________________________________________________________________________________
(Name must be exactly as stated on Certificate of Existence including spacing and punctuation)
2.
Its state or country of organization is: ___________________________________________________________________
3.
The mailing address of its principal office is:
_________________________________________________________________________________________________
4.
A list of the names and addresses of all members and their respective capital contributions are kept and will be kept at this
principal office until cancellation.
5.
The company shall have and continuously maintain in the State of Hawaii a registered office and a registered agent.
The agent may be an individual resident of Hawaii, a domestic entity or a foreign entity authorized to transact business
in the State, whose business office is identical with the registered office.
a.
The name (and state or country of incorporation, formation or organization, if applicable) of the company’s
registered agent in the State of Hawaii is:
_________________________________________________________________
___________________
(Name of Registered Agent)
(State or Country)
b.
The street address of the initial registered office in this State is:
_______________________________________________________________________________________________________
6.
The period of duration is (check one):
At-will
For a specified term to expire on: ______________________________________________________
(Month
Day
Year)