FORM 1023-EZ for IMPACT CHANGE HAWAII
| Field | Data |
|---|---|
| EIN | 83-2205991 |
| Case Number | EO-2018346-000314 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | IMPACT CHANGE HAWAII |
| Organization’s Mailing Address | 1640 BERTRAM STREET |
| City | HONOLULU |
| State | HI |
| ZIP | 96816 |
| Accounting period End | 6 |
| Primary contact name | LEILA FUJINAKA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
GLEN HAYASHIDA
PRESIDENT/DIRECTOR
94-572 POLOAHILANI STREET
MILILANI HI 96789
Officer/Director/Trustee Two
CAROL HOOMANAWANUI
VICE PRESIDENT/DIRECTOR
455 ANOLANI STREET
HONOLULU HI 96821
Officer/Director/Trustee Three
LISA INOYE
TREASURER/DIRECTOR
PO BOX 22496
HONOLULU HI 96823
Officer/Director/Trustee Four
JAN ASHLOCK
SECRETARY/DIRECTOR
608 E4 N KUAKINI STREET
HONOLULU HI 96817
Officer/Director/Trustee Five
LEILA FUJINAKA
EXECUTIVE DIRECTOR
1640 BERTRAM STREET
HONOLULU HI 96816
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/16/18 |
| Organization Incorporation State | HI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P30 - Children's, Youth Services |
| 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 | LEILA FUJINAKA |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 12/10/18 |
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