Statement Of Change By Commercial Registered Agent {X-14}

WWW.BUSINESSREGISTRATIONS.COM Nonrefundable Filing Fee: $25.00 FORM X-14 7/2012 STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS Business Registration Division 335 Merchant Street Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810 Phone No. (808) 586-2727 (Section 425R-9 Hawaii Revised Statutes) PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK ' !' STATEMENT OF CHANGE BY COMMERCIAL REGISTERED AGENT The undersigned certify as follows: 1. The name of the Commercial Registered Agent (CRA) as currently listed is: 2. Information being changed: (check all that apply) Complete only applicable lines below. a. New name of CRA (can be an individual or an entity): (Type/Print New Name) b. New street address of the Commercial Registered Agent in this State: c. The entity type of the CRA has changed to: (Please check one) Profit Corporation Limited Partnership Limited Liability Company Nonprofit Corporation Limited Liability Partnership Other: General Partnership Limited Liability Limited Partnership No Change d. The jurisdiction of organization of the CRA has changed to: (State or Country) 3. The filing of this statement of change under section 425R-9, Hawaii Revised Statutes, is effective upon filing and will change the information regarding this commercial registered agent with respect to each entity that has filed to be represented by the agent. The commercial registered agent shall promptly furnish each entity represented by it with written notice of the filing of a statement of change relating to the change or changes made by this filing. I/we certify under the penalties of Section 414-20, 414D-12, 425-13, 425-172, 425E-208 and 428-1302, Hawaii Revised Statutes, as applicable, that I/we have read the above statements, I/we are authorized to make this change, and that the above statements are true and correct. Signed this day of , (Type/Print Name & Title) (Type/Print Name & Title) (Signature of Officer) (Signature of Officer) American LegalNet, Inc. www.FormsWorkFlow.com WWW.BUSINESSREGISTRATIONS.COM FORM X-14 7/2012 Instructions: Statement must be typewritten or printed in black ink, and must be legible. The statement must be signed by the commercial registered agent. If the commercial registered agent is an entity, an authorized official must sign. All signatures must be in black ink. Submit original statement together with the appropriate fee(s). Execution: For corporations, document must be signed by at least one officer of the corporation. For general partnerships, document must be signed by at least one general partner. For limited liability partnerships, document must be signed and certified by at least one partner. For limited partnerships, document must be signed by at least one general partner. For limited liability limited partnerships, document must be signed by at least one general partner. For limited liability company, document 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. Line 1. State the current name of the commercial registered agent. Line 2. Check off the box or boxes that apply for the change(s) of the commercial registered agent. a. If the name of the agent has changed, state its new name or state "no change". b. If the address of the agent has changed, state the new street address or state "no change". c. If the entity type has changed, check off the appropriate box. d. If the jurisdiction of organization has changed, state the new state or country or state "no change". The commercial registered agent shall promptly furnish each entity represented by it with notice through a letter, email or other written form of the change(s) made by this filing. Filing Fees: Filing fee ($25.00) is not refundable. (200 or less affected entities, the filing fee is $25 each. 201 or more affected entities, the filing fee is $1 each.) Make checks payable to DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS. Dishonored Check Fee ($25). For any questions call (808) 586-2727. Neighbor islands may call the following numbers followed by 6-2727 and the # sign: Kauai 274-3141; Maui 984-2400; Hawaii 974-4000, Lanai & Molokai 1-800-468-4644 (toll free). Fax: (808) 586-2733 Email Address: breg@dcca.hawaii.gov NOTICE: THIS MATERIAL CAN BE MADE AVAILABLE FOR INDIVIDUALS WITH SPECIAL NEEDS. PLEASE CALL THE DIVISION SECRETARY, BUSINESS REGISTRATION DIVISION, DCCA, AT 586-2744, TO SUBMIT YOUR REQUEST. ALL BUSINESS REGISTRATION FILINGS ARE OPEN TO PUBLIC INSPECTION. (SECTION 92F-11, HRS) American LegalNet, Inc. www.FormsWorkFlow.com