FORM X-3
B
R
WWW.
USINESS
7/2000
STATE OF HAWAII
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Business Registration Division
1010 Richards Street
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
CORRECTION
(Section 415-55.6, 415B-10.6, 425-1.7, 425D-206.6, 428-207, 425-
, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
Please check one:
Profit Corporation
Nonprofit Corporation
General Partnership
Limited Partnership
LLC
LLP
(F/$50/B14)
(F/$20/B14)
(F/$25/B33, SH/S12)
(F/$20/B34)
(F/$50/L14)
(F/$100/L34)
1.
Name of business entity:
________________________________________________________________________________________
(Corporation, Partnership, LLC Name)
2.
Describe the document to be corrected, including the date the document was filed with the Department of Commerce and
Consumer Affairs, or attach a copy of the document to be corrected.
3.
Specify the incorrect statement and give the reason it is incorrect or describe the manner in which the document was
defectively executed, attested, sealed, verified, or acknowledged.
4.
The incorrect statement or defective execution is corrected as follows or as attached hereto:
5.
For LLC only, attach the entire corrected record.
We certify under the penalties of Section 415-136, 415B-158, 425-13, 425D-204, 425D-1108, Hawaii Uniform Limited Liability
Company Act, and Hawaii Limited Liability Partnership Act, Hawaii Revised Statutes, as applicable, that we have read the
above statements and that the same are true and correct.
Signed this ____________day of ___________________________________, __________
_______________________________________________________
_________________________________________________________
(Type/Print Name & Title)
(Type/Print Name & Title)
_______________________________________________________
_________________________________________________________
(Signature)
(Signature)
SEE INSTRUCTIONS ON REVERSE SIDE. For corporations, document must be signed by two individuals who are officers of the corporation.
General partnerships must be signed by a general partner. Limited partnerships must be signed by all general partners. For LLC, must be
signed and certified by at least one manager of a manager-managed company or by at least one member of a member-managed company.
LLP must be signed and certified by at least one partner.