FORM 1023-EZ for THE BOOK SHACK

Field Data
EIN 84-3100790
Case Number EO-2019301-000794
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BOOK SHACK
Organization’s Mailing Address 95-6363 MAKAI STREET
City NAALEHU
State HI
ZIP 96772-621
Accounting period End 12
Primary contact name PUEO MCGUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA AMBROSE
DIRECTOR - CHAIR
PO BOX 700
NAALEHU HI 96772-621

Officer/Director/Trustee Two

JODIE ROSAM
DIRECTOR
PO BOX 965
NAALEHU HI 96772-921

Officer/Director/Trustee Three

TAZ ROSAM
DIRECTOR
PO BOX 711687
MOUNTAIN VIEW HI 96772-1661

Officer/Director/Trustee Four

MARGARET MCGUIRE
DIRECTOR
PO BOX 412
NAALEHU HI 96772-381

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/19
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B70 - Libraries
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 DONNA AMBROSE
Signature Title DIRECTOR - CHAIR
Signature Date 10/26/19

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