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~ ~ ~+(lV <br /> r, <br /> 7 FiH out Form ~ CanBrm Information ~ 3 j Misa_ Info ~~4 ;Credit Card (5) Print Receipt <br /> INSTRUCTIONS: Confirm that ail information (in red) below is accurate. If the information is accurate, click t <br /> 'Continue' button at the bottom of this page. If you want to change any information, click the 'Change Info' <br /> button at the bottom of this page and make the necessary changes. <br /> Internet FORM T <br /> www.BU5INE55REGISTRATIONS.IbM 7~'2QI <br /> Nonrefundable Fling Fee Sso.oo STATE OF HAWAII <br /> DEPARTMENT OF COMMERCE AND CONSUMER II,pNI~l~I INI <br /> AFFAIRS 1IggNN~~lryl Ip11, <br /> Business Registration Division <br /> 1010 Richards Street <br /> Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810 <br /> APPLICATION FOR REGISTRATION OF TRADE NAME <br /> (Chapter 482, Hawaii Revised Statutes) <br /> PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK <br /> 1. Applicant's Name: Ho'okena tA/ater Association <br /> Applicant's Address: #!_C2 77-6425_Kuakini NcNpr Kaiiua-Kona,.Hawaii 96740 <br /> (Including city, state, and ziD code) <br /> 2. Registration is (check one): x?New OR ?Renewal <br /> 3. Status of Applicant (check only one): <br /> ?Sole Proprietor ?Corporation ?Parmership ?LLC ?LLP <br /> ~Jnincorporated Association ?Other (explain): <br /> 4. If applicant is an entity, list state or country of incorporation/ formation/ organization: <br /> I'iawati <br /> 5. Trade Name is: Ft®`u9ce~a_Wate_r_,ftvsncataorq <br /> 6. Applicant is (check one): (]Originator of name OR ?Assignee (one to whom name was assigned to t <br /> another) <br /> 7. Nature of business for which the trade name is being used: <br /> '~&t31iVTiefn Sty )Na$L'§'_9i'a_arl,3g~A$92BLt <br /> I certify, under the penalties set forth in Section 482-3.5, Hay4aii Revised Statutes, that (check one): <br /> <br /> https://www.ehawaiigov.org/dcc~nitials/nbrscc/bregs filing.cgi 9/10/2003 <br /> <br />