FORM 1023-EZ for HAWAII LONGEVITY CENTER

Field Data
EIN 81-1516636
Case Number EO-2016113-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAWAII LONGEVITY CENTER
Organization’s Mailing Address 1255 NUUANU AVE E2201
City HONOLULU
State HI
ZIP 96817-4001
Accounting period End 12
Primary contact name CRAIG TWENTYMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CRAIG TWENTYMAN
PRESIDENT
1255 NUUANU AVE APT E2201
HONOLULU HI 96817-4001

Officer/Director/Trustee Two

BAESA AAO
TREASURER
3364 HARDING AVE
HONOLULU HI 96816-2400

Officer/Director/Trustee Three

MICHAEL PETERS
SECRETARY
41 S BERETANIA ST
HONOLULU HI 96813-2220

Organization’s website
Organization’s email HAWAIILONGEVITYCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2016
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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
Signature Title
Signature Date

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