FORM 1023-EZ for HELPING HANDS SMILES PROJECT

Field Data
EIN 84-2505236
Case Number EO-2019207-000384
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HELPING HANDS SMILES PROJECT
Organization’s Mailing Address 1254 AINAKEA ROAD
City LAHAINA
State HI
ZIP 96761
Accounting period End 12
Primary contact name JAMIL NEWIRTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL KOBAYASHI
PRESIDENT/TREASURER
1254 AINAKEA ROAD
LAHAINA HI 96761

Officer/Director/Trustee Two

VANESSA BROVELLI
SECRETARY
21 KI OHU OHU LANE APT 2
LAHAINA HI 96761

Officer/Director/Trustee Three

CHRIS KOBAYASHI
VICE PRESIDENT
120 NOHO PLACE
MAKAWAO HI 96768

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/19
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 Yes
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 CARL KOBAYASHI
Signature Title PRESIDENT/TREASURER
Signature Date 7/24/19

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