Form G-6 - Application For Exemption From General Excise Taxes Page 2
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4FORM G-6
SCHEDULE A
PAGE 2
(REV. 2012)
STATEMENT OF ORGANIZATION
Date of Inception:
Under the Laws of:
If Part of a Central (National) Organization, Indicate Name of the Central Organization:
Organization’s Accounting Year End (Month/Day):
Character of Organization:
Purpose for Which Organized (describe fully):
Actual Activities in Hawaii (describe fully):
Types of Income in Hawaii (describe fully):
Disposition of Income in Hawaii (describe fully):
Date of Last Amendment to Bylaws:
SCHEDULE B
LIST OF OFFICERS, DIRECTORS OR TRUSTEES
Daytime
Time Devoted
Name in Full
Address
Telephone No.
Office Held
Salary
to Duties
FORM G-6
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