Form Fllc-1 - Application For Certificate Of Authority For Foreign Limited Liability Company

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FORM FLLC-1
7/2012
Nonrefundable Filing Fee: $50.00
STATE OF HAWAII
*FLLC1*
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Clear Form
Business Registration Division
335 Merchant Street
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
Phone No. (808) 586-2727
APPLICATION FOR CERTIFICATE OF AUTHORITY
FOR FOREIGN LIMITED LIABILITY COMPANY
(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:
The mailing address of its principal office is:
3.
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 this registration is cancelled.
5.
The company shall have and continuously maintain in the State of Hawaii a registered agent who shall have a business
address in this State. The agent may be an individual who resides in this State, a domestic entity or a foreign entity
authorized to transact business in this State.
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 place of business of the person in State of Hawaii to which service of process and other
notice and documents being served on or sent to the entity represented by it may be delivered to is:
6.
The period of duration is (check one):
At-will
For a specified term to expire on:
(Day)
(Year)
(Month)

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