FORM 1023-EZ for CHALEI FOUNDATION

Field Data
EIN 83-0590702
Case Number EO-2021092-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHALEI FOUNDATION
Organization’s Mailing Address PO BOX 7204
City HILO
State HI
ZIP 96720
Accounting period End 12
Primary contact name HENRI FREITAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRI FREITAS
PRESIDENT & CHAIRPERSON
PO BOX 7204
HILO HI 96720

Officer/Director/Trustee Two

JESSICA LORENZO
TREASURER & DIRECTOR
PO BOX 4503
HILO HI 96720

Officer/Director/Trustee Three

DONNA WALKER
SECRETARY & DIRECTOR
15-753 PUNI MAUKA LOOP S
PAHOA HI 96778

Officer/Director/Trustee Four

HENRY & DAWNALYNN WAIWAIOLE
DIRECTOR
PO BOX 448
NAALEHU HI 96772

Officer/Director/Trustee Five

LUTHER & CYNTHIA WAIWAIOLE & MONELL
DIRECTOR
PO BOX 44944
KAMUELA HI 96743

Organization’s website CHALEIFOUNDATION.WEEBLY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/2019
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
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 HENRI FREITAS
Signature Title PRESIDENT & CHAIRPERSON
Signature Date 2/23/2021

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