FORM 1023-EZ for ADOPT A SCHOOL HAWAII

Field Data
EIN 86-3727122
Case Number EO-2021141-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADOPT A SCHOOL HAWAII
Organization’s Mailing Address P O BOX 4604
City HONOLULU
State HI
ZIP 96812
Accounting period End 12
Primary contact name PATRICK UYEMOTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK UYEMOTO
PRESIDENT
600 ALA MOANA BLVD UNIT 1204
HONOLULU HI 96813

Officer/Director/Trustee Two

PATRICK TOMIYASU
VICE PRESIDENT
719 UMI ST UNIT 1N
HONOLULU HI 96819

Officer/Director/Trustee Three

GINA MAEDA
SECRETARY
2305 BOOTH RD
HONOLULU HI 96813

Officer/Director/Trustee Four

NATALIE MILLON
TREASURER
P O BOX 372191
HONOLULU HI 96837

Officer/Director/Trustee Five

MITCHELL CHUN
BOARD MEMBER
1779 MALANAI ST UNIT D
HONOLULU HI 96826

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2021
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 No
Donation of funds No
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 PATRICK UYEMOTO
Signature Title PRESIDENT
Signature Date 5/17/2021

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