FORM 1023-EZ for IMI OLA AUTISM SERVICES

Field Data
EIN 81-1084881
Case Number EO-2016145-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMI OLA AUTISM SERVICES
Organization’s Mailing Address 590 FARRINGTON HWY NUM 524-225
City KAPOLEI
State HI
ZIP 96707-2009
Accounting period End 1
Primary contact name TARYN AWANA SCANLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TARYN AWANA SCANLAN
EXECUTIVE DIRECTOR
89-924 LAHIKIOLA PL
NANAKULI HI 96792-3945

Officer/Director/Trustee Two

KAREN AWANA
DIRECTOR
89-1110 PIKAIOLENA ST
WAIANAE HI 96792-4143

Officer/Director/Trustee Three

ALFRED DUNG
DIRECTOR
PO BOX 508
WAIANAE HI 96792-0508

Officer/Director/Trustee Four

JUSTINE TUBANA
DIRECTOR
94-541 LOAA ST
WAIPAHU HI 96796-1511

Organization’s website
Organization’s email IMIOLAAUTISMSERVICES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2016
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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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