Form X-1 - Application For Reservation Of Name - 2008

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FORM X-1

WWW.

USINESS

7/2008

Nonrefundable Filing Fee: $10.00

STATE OF HAWAII

*X1*

DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS

Business Registration Division

Clear Info

335 Merchant Street

Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810

Phone No. (808) 586-2727

APPLICATION FOR RESERVATION OF NAME

(Section 414-52, 414D-62, 425-8, 425E-109, 428-106, Hawaii Revised Statutes)

PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK

Please check current or proposed business entity type (check only one):

Corporation

Partnership (General/Limited/LLLP)

LLC

(F/$10/B20, SH/S04)

(F/$10/L20, SH/S21)

Name of Applicant:

_____________________________________________________________________________________________

Address of Applicant:

___________________________________________________________________________________________

Status of Applicant (check only one):

a. Person intending to organize a new domestic business entity.

b. Foreign business entity intending to carry on any business in the State of Hawaii.

c. Person intending to organize a foreign business entity and intending to file necessary documents to transact

business in this State.

d. Foreign business entity authorized to transact business in this State and intending to change its name.

e. Existing domestic business entity intending to change its name.

Name to be reserved:

__________________________________________________________________________________________

(See instruction No. 4 on reverse side)

For Corporations, name is reserved for (check one):

Profit

Nonprofit

For Partnerships, name is reserved for (check one):

General

Limited Partnership

LLLP

e above statements are

I certify that I have read the above statements, I am authorized to sign this application, and that th

true

and correct to the best of my knowledge and belief.

___________________________________________________________________________

(Print Name)

_________________________________________________________________________

(Signature)

(SEE INSTRUCTIONS ON REVERSE SIDE)

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

(Department Use Only)

___________________________________________________

(Date)

Reservation of business entity name, as requested, hereby approved for a period of 120 days to expire at 12:00 midnight

______________________________________.

DIRECTOR OF COMMERCE AND CONSUMER AFFAIRS

________________________________________________________