Domestic Corporation Sole Annual Report {D9}

DOMESTIC CORPORATION SOLE FILING FEE: $ 5.00 STATE OF HAWAII RETURN ORIGINAL BY SEPTEMBER 30 H DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS BUSINESS REGISTRATION DIVISION 335 Merchant Street Mailing Address: Annual Filing, P.O. Box 40, Honolulu, HI. 96810 Clear Form DOMESTIC CORPORATION SOLE ANNUAL REPORT AS OF JULY 1, 2008 CORPORATE NAME AND MAILING ADDRESS: HAMAKUA BAPTIST CHURCH P O BOX 7 PAPAALOA HI 96780 If the above mailing address has changed, line out and print change to the right. If address of principal office differs from the above mailing address, state the address of principal office. Include City, State, and Zip Code: ______________________________________________________________________________________________ 1. The following is a brief description of the nature of activities which the corporation is actually conducting. NATURE OF ACTIVITIES: (To correct, line out and print corrections below. If inactive during the period, state INACTIVE.) 2. OFFICERS/DIRECTORS: (List all officers and directors. At least one officer must be a resident of Hawaii. ) OFFICE HELD/ DIRECTOR CODE NAME IN FULL ADDRESS (INCLUDE CITY, STATE & ZIP CODE) CERTIFICATION I certify under the penalties of Section 414D-12, Hawaii Revised Statutes, that I have read the above, the information is true and correct, and I am authorized to sign this report. DATE: Signature of authorized officer, attorney-in-fact for an officer, or receiver or trustee (if the corporation is in the hands of a receiver or trustee) FILE NO. 0212645D9 Rev. 11/2008 Print Name B18 2008 B22 File this Original (SEE REVERSE SIDE FOR INSTRUCTIONS) *0212645D9* *2008* Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS (If any questions, call: (808) 586-2727) The annual report must be typewritten or printed in Black Ink, and must be legible. The report must be signed in black ink and certified by an authorized corporate officer, attorney-in-fact for an officer, receiver, trustee or other court-appointed fiduciary. The filing fee of $ 5.00 must be submitted with the report. Make check payable to the DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS. Filing fee is not refundable. Your cancelled check is your receipt. There is a $ 25.00 charge for all dishonored checks. The Director of Commerce and Consumer Affairs may administratively dissolve the corporation for failure to file an annual report for a period of two years. 1. State a brief description of the nature of business. If inactive for the period, state INACTIVE. (Annual report must be filed for the period, even though the corporation was inactive.) 2. State the names and business addresses of all corporate officers and directors. Due Date: Effective January 1, 2003, for a domestic corporation sole whose date of incorporation falls between: (1) January 1 and March 31, an annual report shall be filed on or before March 31 of each year and shall reflect the state of the corporation's affairs as of January 1 of the year when filed; (2) April 1 and June 30, an annual report shall be filed on or before June 30 of each year and shall reflect the state of the corporation's affairs as of April 1 of the year when filed; (3) July 1 and September 30, an annual report shall be filed on or before September 30 of each year and shall reflect the state of the corporation's affairs as of July 1 of the year when filed; and (4) October 1 and December 31, an annual report shall be filed on or before December 31 of each year and shall reflect the state of the corporation's affairs as of October 1 of the year when filed. New corporations: An annual report is not required to be filed in the year the corporation was incorporated. 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) Mail the completed report with fee to: Annual filing - BREG P.O. Box 40 Honolulu, HI 96810 DID YOU REMEMBER TO SIGN YOUR REPORT AND CHECK? Renew online at ehawaii.gov/annuals Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com