FORM 1023-EZ for ORPHAN LIFE FOUNDATION

Field Data
EIN 81-4314076
Case Number EO-2017012-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORPHAN LIFE FOUNDATION
Organization’s Mailing Address 410 KUEHU STREET
City KAPOLEI
State HI
ZIP 96707
Accounting period End 12
Primary contact name AUGUSTE S BADIEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUGUSTE BADIEL
DIRECTOR/ FOUNDER
410 KUEHU STREET
KAPOLEI HI 96707

Officer/Director/Trustee Two

SELINA MEINERS
DIRECTOR OF OF PRESS SOCIAL MEDIA
PO BOX 75264
KAPOLEI HI 96707

Officer/Director/Trustee Three

KENNETH DEBERRY
DIRECTOR DIVISION USA
PO BOX 75264
KAPOLEI HI 96707

Officer/Director/Trustee Four

AMOS KABORE
DIRECTOR DIVISION AFRICA
PO BOX 75264
KAPOLEI HI 96707

Officer/Director/Trustee Five

TIMMYRAY FANOUGUA
DIRECTOR DIVISION PHILIPINES
PO BOX 75264
KAPOLEI HI 96707

Organization’s website ORPHANLIFEFOUNDATION.ORG
Organization’s email ADMIN@ORPHANLIFEFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2016
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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