FORM 1023-EZ for HEART START HAWAII FOUNDATION

Field Data
EIN 46-5387294
Case Number EO-2015216-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART START HAWAII FOUNDATION
Organization’s Mailing Address 1585 KAPIOLANI BOULEVARD SUITE 1040
City HONOLULU
State HI
ZIP 96814
Accounting period End 12
Primary contact name TREVOR BENN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TREVOR BENN
PRESIDENT
1585 KAPIOLANI BLVD STE 1040
HONOLULU HI 96814

Officer/Director/Trustee Two

RAE IFUKU BENN
VICE-PRESIDENT
1585 KAPIOLANI BLVD STE 1040
HONOLULU HI 96814

Officer/Director/Trustee Three

MALIA BENN
VICE-PRESIDENT
1585 KAPIOLANI BLVD STE 1040
HONOLULU HI 96814

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2014
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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
Signature Title
Signature Date

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