FORM 1023-EZ for OHALA ADOPTIONS INCORPORATED

Field Data
EIN 66-0933674
Case Number EO-2020237-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OHALA ADOPTIONS INCORPORATED
Organization’s Mailing Address 122 CONCEPCION RD
City BARRIGADA
State GU
ZIP 96913
Accounting period End 12
Primary contact name LORI DENAE BOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI BOSS
EXECUTIVE DIRECTOR
122 CONCEPCION RD
BARRIGADA GU 96913

Officer/Director/Trustee Two

TRACI ANDERSON
DIRECTOR
123 TAISON WAY
BARRIGADA GU 96913

Officer/Director/Trustee Three

KELLEY LARSEN
DIRECTOR
106 ROAD G APT C
TAMUNING GU 96913

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2019
Organization Incorporation State GU
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P31 - Adoption
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 Yes
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 LORI BOSS
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/21/2020

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