FORM X-2 7/2008 WWW.BUSINESSREGISTRATIONS.COM Nonrefundable Filing Fee: $10.00 STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS Business Registration Division 335 Merchant Street Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810 *X2* Phone No. (808) 586-2727 TRANSFER OF NAME RESERVATION (Section 414-52, 414D-62, 425-8, 425E-109, 428-106, Hawaii Revised Statutes) PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK The undersigned applicant for the name: __________________________________________________________________________________________________________________ (Corporation, Partnership, LLC Name) Reservation approved for (please check one): Corporation Partnership (F/$10/B20, SH/S04) LLC (F/$10/B20, SH/S04) (F/$10/L20, SH/S21) Reservation will expire on: _______________________________________________ (Month Day Year) transfers the reservation of the name to: __________________________________________________________________________________________________________________ (Type/Print Name of Person the Name is Transferred to) __________________________________________________________________________________________________________________ (Type/Print Address of Person the Name is Transferred to) I certify that I have read the above statements, I am authorized to make this change, and that the above statements are true and correct to the best of my knowledge and belief. __________________________________________________________________________________________ (Type/Print Name of Applicant) __________________________________________________________________________________________ (Signature of Applicant) If applicant is a corporation, a corporate officer must sign. If applicant is a partnership, a general partner must sign. If applicant is a LLC, a manager of a manager-managed company or a member of a member-managed company must sign. If applicant is a LLP, a partner must sign. State title below: __________________________________________________________ (Office Held) Instructions: Application must be typewritten or printed in black ink, and must be legible. The transfer must be signed by the actual applicant of the original reservation, even though the original application may have been signed by the applicant’s agent. All signatures must be in black ink. Submit original application together with the appropriate filing fee(s). Filing Fees: Filing fee ($10.00) 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) American LegalNet, Inc. www.FormsWorkflow.com