FORM 1023-EZ for ACTIVE HI ORGANIZATION

Field Data
EIN 45-3937044
Case Number EO-2014329-000149
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACTIVE HI ORGANIZATION
Organization’s Mailing Address PO BOX 1162 FARRINGTON HWY
City WAIANAE
State HI
ZIP 96792
Accounting period End 12
Primary contact name BENJAMIN GATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BENJAMIN GATES
PRESIDENT
PO BOX 1162 FARRINGTON HWY
WAIANAE HI 96792

Officer/Director/Trustee Two

JESUS PUERTO
TREASUER
PO BOX 1162 FARRINGTON HWY
WAIANAE HI 96792

Officer/Director/Trustee Three

PHILIP HARMON
DIRECTOR
PO BOX 1162 FARRINGTON HWY
WAIANAE HI 96792

Officer/Director/Trustee Four

SMETA NO LAST NAME
SECRETARY
PO BOX 1162 FARRINGTON HWY
WAIANAE HI 96792

Organization’s website WWW.ACTIVEHI.ORG
Organization’s email ACTIVEHI@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2011
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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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