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County of Hawaii <br /> 201H Application Package <br /> B) Applicant Organization 1 Entity(Check the appropriate box) <br /> Non-profit organization (Qualified, existing 501(c)(3)or(4) organization, as <br /> determined by the Internal Revenue Service) <br /> Applicant is exempt from federal income tax under Section 501(c)(2)of the Internal Revenue Code. <br /> If the applicant is a Non-profit organization include Exhibit 1 and Exhibit 2. <br /> 0 Private developer <br /> Limited Partnership General Partnership <br /> Corporation 0 Limited Liability Corporation <br /> Other: <br /> Government Identify(Level of Government and Department) <br /> 0 County Government: <br /> [] State Government: <br /> Department: <br /> All applicants mals!stfbntit Exhibit 3, Exhibit 4, and Exhibit 5 as applicable. <br /> C) Applicant Experience <br /> Check the appropriate box: <br /> R1 Applicant has no prior experience in developing or owning housing. <br /> ❑ Applicant has prior experience in developing or owning housing. <br /> If the Applicant has experience in developing or owning housing,please complete Exhibit 6. <br /> Form 201H-001 Page 2 <br />