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Statement Of Cancellation Of Acquired Shares Form. This is a Hawaii form and can be use in Business Registration Secretary Of State.
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Tags: Statement Of Cancellation Of Acquired Shares, DC-7, Hawaii Secretary Of State, Business Registration
BUSINESSREGISTRATIONS.COM
FORM DC-7
7/2008
WWW.
Nonrefundable Filing Fee: $25.00
STATE OF HAWAII
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Business Registration Division
335 Merchant Street
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
Phone No. (808) 586-2727
*DC7*
STATEMENT OF CANCELLATION OF ACQUIRED SHARES
(Section 414-102, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, duly authorized officer of the corporation submitting this Statement, certifies as follows:
1.
The name of the corporation is:
______________________________________________________________________________________________________________
2.
The total number of shares the corporation is authorized to issue is:
CLASS/SERIES
3.
The number of acquired shares cancelled is:
CLASS/SERIES
4.
NUMBER OF SHARES
NUMBER OF SHARES
The total number of authorized shares remaining after the reduction of the shares is:
CLASS/SERIES
NUMBER OF SHARES
The undersigned certifies under the penalties of Section 414-20, Hawaii Revised Statutes, that the undersigned has read the
above statements, I/we are authorized to make this change, and that the statements are true and correct.
Signed this ____________day of ___________________________________, __________
_______________________________________________________
(Type/Print Name & Title)
________________________________________________________
(Signature of Officer)
SEE INSTRUCTIONS ON REVERSE SIDE. The articles must be signed by at least one officer of the corporation.
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FORM DC-7
7/2008
Instructions: Statement must be typewritten or printed in black ink, and must be legible. The statement must be signed by
at least one officer of the corporation. All signatures must be in black ink. Submit original statement together with the
appropriate fee. Statement must be filed before the filing of the corporation’s next annual report.
Line 1. State the full name of the corporation.
Line 2. State the total number of authorized shares, by class or series, prior to the cancellation.
Line 3. State the number of acquired shares, by class or series, that are being cancelled.
Line 4. State the total number of authorized shares, by class or series, remaining after the reduction.
Filing Fees: Filing fee ($25.00) is not refundable. Make checks payable to DEPARTMENT OF COMMERCE AND
CONSUMER AFFAIRS. Dishonored Check Fee $25.00.
For any questions call (808) 586-2727. Neighbor islands may call the following numbers followed by 6-2727 and the # sign:
Kauai 274-3141; Maui 984-2400; Hawaii 974-4000, Lanai & Molokai 1-800-468-4644 (toll free).
Fax: (808) 586-2733
Email Address: breg@dcca.hawaii.gov
NOTICE: THIS MATERIAL CAN BE MADE AVAILABLE FOR INDIVIDUALS WITH SPECIAL NEEDS. PLEASE CALL THE
DIVISION SECRETARY, BUSINESS REGISTRATION DIVISION, DCCA, AT 586-2744, TO SUBMIT YOUR REQUEST.
ALL BUSINESS REGISTRATION FILINGS ARE OPEN TO PUBLIC INSPECTION. (SECTION 92F-11, HRS)
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