FORM 1023-EZ for HONOLULU SENIOR SERVICES

Field Data
EIN 86-3620965
Case Number EO-2021140-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HONOLULU SENIOR SERVICES
Organization’s Mailing Address 1500 KAPIOLANI BLVD SUITE 102E
City HONOLULU
State HI
ZIP 96814
Accounting period End 12
Primary contact name DANIEL PARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL PARK
DIR PRES FOUNDER
1500 KAPIOLANI BLVD SUITE 102E
HONOLULU HI 96814

Officer/Director/Trustee Two

HYE RAN KIM
DIR VP TREASURER
1065 KAWAIAHAO ST SUITE 1405
HONOLULU HI 96814

Officer/Director/Trustee Three

WILLIAM PARK
DIRECTOR SECRETARY
1715 HUNNEWELL ST
HONOLULU HI 96822

Organization’s website NA
Organization’s email DPARK@EVERGREENHAWAIIADC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2021
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 DANIEL PARK
Signature Title DIR PRES FOUNDER
Signature Date 5/18/2021

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