FORM 1023-EZ for ADOPTION CIRCLE OF HAWAII

Field Data
EIN 30-0995799
Case Number EO-2017209-000453
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADOPTION CIRCLE OF HAWAII
Organization’s Mailing Address P O BOX 10304
City HONOLULU
State HI
ZIP 96816
Accounting period End 12
Primary contact name BRIAN EZUKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM MOORE
DIRECTOR/PRESIDENT
PO BOX 10304
HONOLULU HI 96816

Officer/Director/Trustee Two

ERIN CASTILLO
DIRECTOR/TREASURER
PO BOX 10304
HONOLULU HI 96816

Officer/Director/Trustee Three

KATALINA MCGLONE
DIRECTOR/VICE-PRESIDENT
PO BOX 10304
HONOLULU HI 96816

Officer/Director/Trustee Four

JAN TAKANE
DIRECTOR/SECRETARY
PO BOX 10304
HONOLULU HI 96816

Officer/Director/Trustee Five

DOREEN AKAMINE
DIRECTOR
PO BOX 10304
HONOLULU HI 96816

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2017
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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