I acknowledge that this organization qualifies as a nonprofit corporation for federal income tax purposes. I understand that I will be required to file annual reports and financial statements for my organization, as are required of nonprofits, and that my tax-exempt status may be revoked if I do not file returns and financial statements within the required time period. Furthermore, I understand that the following persons or entities are authorized to file this document: Name of Agent: The State of Hawaii Office of the Attorney General State of Hawaii Secretary of State Hawaii Division of Corporations Hawaii Department of Commerce and Consumer Affairs Department of Business and Economic Development Office of the Commissioner of Insurance I understand and agree to pay the filing fee of 25 dollars (25) by check or money order, payable to “City and County of Honolulu” made payable to “Hawaii Corporation Commissioner” All documents must be submitted in hard copy. The following information and forms are to be included on the certificate of organization form.
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Internet FORM DNP-1 0814200540730 1/2005 www.BUSINESSREGISTRATIONS.COM STATE OF HAWAII Nonrefundable Filing Fee $25.00 DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS Business Registration Division 335
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