FORM 1023-EZ for MANAOLANA CENTER FOR HEALTH AND HEALING

Field Data
EIN 47-4712907
Case Number EO-2016147-000375
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MANAOLANA CENTER FOR HEALTH AND HEALING
Organization’s Mailing Address 5877B KAPAHI RD
City KAPAA
State HI
ZIP 96746
Accounting period End 9
Primary contact name UMA SIVANATHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

UMA SIVANATHAN
PRESIDENT
5877B KAPAHI RD
KAPAA HI 96746

Officer/Director/Trustee Two

LILA DEVI
VICE PRESIDENT
7160 AINA PONO
KAPAA HI 96746

Officer/Director/Trustee Three

CRYSTAL PEMBROOK
SECRETARY
3756 KIKEE RD
KALAHEO HI 96741

Officer/Director/Trustee Four

MALIA LOCEY
TREASURER
PO 450
ANAHOLA HI 96703

Organization’s website
Organization’s email MANAOLANACENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2015
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: Yes
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 No
One Third Support Gifts Yes
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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