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RECEIVED <br />OCT 2 4 2025 <br />COUNTY OF HAWAI'1 DEPARTMENT OF LIQUOR CONTROL Dept. of Liquor Control <br />HILU <br />101 Aupuni Street, Unit 230, Hilo, Hawai'i 96720 <br />TEL: (808) 961-8218 FAX: (808) 961-8684 <br />EMAIL: cohdlc@hawaiicounty.gov <br />REQUEST TO CHANGE <br />LICENSEE TRADE NAME (DBA), ADDRESS OR OTHER CONTACT <br />INFORMATION <br />Reauest to Chanoe (check all that apply): <br />® Licensee Trade Name (DBA) 0 Mailing Address ❑ Phone Numbers) ® Email Address <br />❑ Other— must specify below <br />Liquor License No.: RG-996 Licensee (Owner) Name: Kona Aouacuiture inc. <br />Licensee EXISTING Information <br />Existing Trade Name (DBA): Kowa Premium Foods Hawaii Corporation <br />Existing Mailing Address: 73-357 Makako Bay Drive <br />Existing Phone Number(s): (808)334-0034 Existing FAX Number: (808) 334-0215 <br />Existing Email: office0bigislandabalone.com <br />Licensee NEW Information <br />We request to make the following changes: <br />New Trade Name (DBA): Big Island Abalone <br />For New Trade Name (DBA) attach the following item: <br />10 Certificate of Registration of Trade Name from the State of Hawaii DCCA <br />(Dept. of Commerce & Consumer Affairs). <br />New Mailing Address: 73-357 Makako Bay Drive <br />New Phone Number(s): (8808)334-0034 _ New FAX Number: (808) 334-0215 <br />New Email: naoki aQbigislandabalone.00m <br />Other change requests described as follows (documentation bay be required): <br />SIGNATURE Licensee (OwneryAuthorized Agent <br />Kazuki itoh Secretary <br />PRINT Licensee (OwneryAutholzed Agent <br />-- (t. <br />DATE <br />Note: if submission by Authorized Agent, please submit a Latter of Authortzatlon signed by the Llsensee/Owner There is a $25.00 fee <br />for a t7.iange in Trade Name (DBA). Check should be made to the "Department of Liquor Control". <br />Rev. 1211421 <br />