FORM 1023-EZ for BECOME FOUNDATION INC

Field Data
EIN 85-2024751
Case Number EO-2020209-000848
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BECOME FOUNDATION INC
Organization’s Mailing Address 94-1076 PULELO ST
City WAIPAHU
State HI
ZIP 96797
Accounting period End 12
Primary contact name JON KATAYAMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON KATAYAMA
PRESIDENT
94-1076 PULELO ST
WAIPAHU HI 96797

Officer/Director/Trustee Two

SHAUNTE RUFO-MEYER
TREASURER
94-1076 PULELO ST
WAIPAHU HI 96797

Officer/Director/Trustee Three

SUSAN CONNELLEY
SECRETARY
94-1076 PULELO ST
WAIPAHU HI 96797

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2020
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: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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 JON KATAYAMA
Signature Title PRESIDENT
Signature Date 7/21/2020

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