FORM DC-8
3/2004
We certify under the penalties of Section 414-20, Hawaii Revised Statutes, that we have read the above statements and that the
same are true and correct.
Signed this ____________day of ___________________________________, __________
(Please see instructions for required signatures)
Surviving entity:
__________________________________________________________________________________________________
(Type/Print Entity Name)
_______________________________________________________
________________________________________________________
(Signature)
(Type/Print Name & Title)
Merging entity(s):
_________________________________________________________________________________________________
(Type/Print Entity Name)
_______________________________________________________
________________________________________________________
(Signature)
(Type/Print Name & Title)
Merging entity(s):
_________________________________________________________________________________________________
_______________________________________________________
________________________________________________________
(Signature)
(Type/Print Name & Title)
Merging entity(s):
_________________________________________________________________________________________________
(Type/Print Entity Name)
_______________________________________________________
________________________________________________________
(Signature)
(Type/Print Name & Title)
Merging entity(s):
_________________________________________________________________________________________________
(Type/Print Entity Name)
_______________________________________________________
________________________________________________________
(Signature)
(Type/Print Name & Title)
SEE INSTRUCTIONS ON REVERSE SIDE.