FORM 1023-EZ for HAWAII DHA

Field Data
EIN 84-4799136
Case Number EO-2020055-000393
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAWAII DHA
Organization’s Mailing Address 1467 PUEO ST
City HONOLULU
State HI
ZIP 96816
Accounting period End 12
Primary contact name GORDEN GATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA FORBES
PRESIDENT
PO BOX 23313
HONOLULU HI 96823

Officer/Director/Trustee Two

GERRAINE HIGNITE
PRESIDENT ELECT
PO BOX 23313
HONOLULU HI 96823

Officer/Director/Trustee Three

JESSICA LOZANO
VICE PRESIDENT
PO BOX 23313
HONOLULU HI 96823

Officer/Director/Trustee Four

NESHONE GARDNER
SECRETARY
PO BOX 23313
HONOLULU HI 96823

Officer/Director/Trustee Five

GAYLE CHANG
TREASURER
PO BOX 23313
HONOLULU HI 96823

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A03 - Professional Societies, Associations
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 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 GAYLE CHANG
Signature Title TREASURER
Signature Date 2/20/2020

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