Statement Of Issuance Of Shares Of Preferred Or Special Classes In Series {DC-6}

WWW.BUSINESSR EGISTRATIONS.COM FORM DC-6 7/2001Nonrefundable Filing Fee: $50.00 STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS Business Registration Division # 1010 Richards Street Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810 STATEMENT OF ISSUANCE OF SHARES OF PREFERRED OR SPECIAL CLASSES IN SERIES (Section 414-72, 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. A copy of the resolution establishing and designating the series, and fixing and determining the relative rights and preferences of the new shares is attached. 3. The resolution was adopted on: _______________________________________________________________________ (Month Day Year) 4. The resolution was adopted by the Board of Directors. The undersigned certifies under the penalties of Section 414-20, Hawaii Revised Statutes, that the undersigned has read theabove statements and that the same are true and correct. Signed this ____________day of ___________________________________, __________ _______________________________________________________ ________________________________________________________ ( Type/P rint Name & Title) (Signature of Officer)Instructions : Statement must be typewritten or printed in black ink, and must be legible . The statement must be signed by atleast one officer of the corporation. All signatures must be in black ink. Submit original statement together with the appropriatefee. Line 1. State the full name of the corporation. Line 2. Attach a copy of the resolution. Attachment must be typewritten or printed in black ink on 8-1/2 x 11 white, bond paper and printed only on one side. Line 3. Give the date (month, day and year) that the Board of Directors adopted the resolution. Authority for the Board of Directors to adopt the resolution must be stated in the corporations Articles of Incorporation. Filing Fees : Filing fee ($50.00) is not refundable. Make checks payable to DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS. Dishonored Check ($15 fee plus interest charge). 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.