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County of Hawaii <br />201H Application Package <br />B) Applicant Organization 1 Entity (Check the appropriate box) <br />0 Private developer <br />Limited Partnership <br />Corporation 0' <br />Other: <br />General Partnership <br />Limited Liability Corporation <br />Government Identify (Level of Government and Department) <br />0 County Government: <br />[] State Government: <br />Department: <br />A11 applicants moist 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 />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 <br />Corporation 0' <br />Other: <br />General Partnership <br />Limited Liability Corporation <br />Government Identify (Level of Government and Department) <br />0 County Government: <br />[] State Government: <br />Department: <br />A11 applicants moist 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 />