FORM 1023-EZ for MENTAL RESTORATIONS FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-4290216 |
| Case Number | EO-2019150-000204 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MENTAL RESTORATIONS FOUNDATION |
| Organization’s Mailing Address | P O BOX 1070 |
| City | PAHOA |
| State | HI |
| ZIP | 96778-1070 |
| Accounting period End | 12 |
| Primary contact name | ROY R DEAN II |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICAH GAUTHIER
CHAIRMAN/PRESIDENT
348 KULANA STREET
HILO HI 96720
Officer/Director/Trustee Two
ROY DEAN II
TREASURER/SECRETARY
P O BOX 1070
PAHOA HI 96778-1070
Officer/Director/Trustee Three
KENNETH VANSPRONSON
VICE CHAIRMAN/VICE PRESIDENT
P O BOX 255
MOUNTAIN VIEW HI 96771
Officer/Director/Trustee Four
JON HOOMANUWANUI
N/A
15-2721 MOANO STREET
PAHOA HI 96778
Officer/Director/Trustee Five
CATHRINE WINGATE
N/A
36 KOMOHANA STREET
HILO HI 96720
| Organization’s website | MENTALRESTORATIONS.COM |
|---|---|
| Organization’s email | MRFOUNDATION808@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/11/19 |
| Organization Incorporation State | HI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F12 - Fund Raising and/or Fund Distribution |
| 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 | Yes |
| 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 | ROY DEAN II |
| Signature Title | TREASURER/SECRETARY |
| Signature Date | 5/28/19 |
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