FORM 1023-EZ for URBAN FARM HAWAII

Field Data
EIN 46-4789915
Case Number EO-2015055-000080
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name URBAN FARM HAWAII
Organization’s Mailing Address 3166 ALIKA AVENUE
City HONOLULU
State HI
ZIP 96817
Accounting period End 12
Primary contact name ANDREW DEDRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEWAIN DEDRICK
PRESIDENT
3166 ALIKA AVENUE
HONOLULU HI 96817-1103

Officer/Director/Trustee Two

NATHAN ORTIZ
VICE PRESIDENT
3651 ALANI DRIVE
HONOLULU HI 96822-6409

Officer/Director/Trustee Three

HUNTER HEAIVILIN
SECRETARY
2861 KOMAIA PLACE
HONOLULU HI 96822-1745

Officer/Director/Trustee Four

DEWAIN DEDRICK
TREASURER
3166 ALIKA AVENUE
HONOLULU HI 96817-1103

Organization’s website
Organization’s email INFO@URBANFARMHAWAII.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2014
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
Organization’s purpose Charitable: No
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 Yes
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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