FORM 1023-EZ for HALE HOOLAWAI

Field Data
EIN 82-4688143
Case Number EO-2018068-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HALE HOOLAWAI
Organization’s Mailing Address PO BOX 1599
City PAHOA
State HI
ZIP 96778
Accounting period End 12
Primary contact name AMBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER BERG
PRESIDENT
PO BOX 1599
PAHOA HI 96778

Officer/Director/Trustee Two

CINDY BERG
DIRETOR
959 TIA JUANA ST
LAGUNA BEACH CA 92651

Officer/Director/Trustee Three

DAVE BERG
DIRECTOR
PO BOX 708
MNT VIEW HI 96771

Officer/Director/Trustee Four

TIM BROWN
DIRECTOR
PO BOX 1599
PAHOA HI 96778

Officer/Director/Trustee Five

MARIKA RIPKE
DIRECTOR
PO BOX 1599
PAHOA HI 96778

Organization’s website
Organization’s email DR.AMBERBERG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/14
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: No
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 AMBER BERG
Signature Title PRESIDENT
Signature Date 3/7/18

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