FORM FC-1
B
R
WWW.
USINESS
1/2001
Nonrefundable Filing Fee
STATE OF HAWAII
Profit: $100.00
Nonprofit: $50.00
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 FOR FOREIGN CORPORATION
(Section 415-110, 415B-124, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, duly authorized officers of the corporation submitting this application, certify as follows:
1.
The corporation is (check one):
Profit
Nonprofit
(F/$100/B11)
(F$50/B53)
2.
For profit corporations, attached is the license fee of _____________________, which is prorated according to the
month of registration. Registration month: July - December $100.00 license fee; January - June $50.00 license fee.
Remit the applicable prorated license fee and the required $100.00 filing fee.
3.
Attached is an original certificate of good standing duly authenticated by the proper officer of the state or country of
incorporation and dated not more than thirty (30) days prior to the filing of this application. If the certificate of good
standing is in a foreign language, a translation under the oath of the translator accompanies the certificate.
4.
The name of the corporation is:
_______________________________________________________________________________________________________________
(Name must be exactly as stated on Certificate of Good Standing including spacing and punctuation)
5.
The corporation was incorporated in:
__________________________________________________________
6.
The corporation was incorporated on:
__________________________________________________________
(Month
Day
Year)
and its period of duration is
perpetual
OR
will expire on
_________________________________________
7.
The mailing address of its principal office in the state or country of incorporation is:
_______________________________________________________________________________________________________________
8.
The corporation shall have and continuously maintain in the State of Hawaii a registered office and a registered agent
whose business office is identical with the registered office.
a.
The name of the corporation’s proposed registered agent in the State of Hawaii is:
___________________________________________________________________________________________________
b.
The street address of the corporation’s proposed registered office in the State of Hawaii is:
___________________________________________________________________________________________________
9.
The primary specific purpose(s) the corporation will pursue in the State of Hawaii:
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________