FORM 1023-EZ for THIS ONE BREATH FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-0784366 |
| Case Number | EO-2020114-000074 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THIS ONE BREATH FOUNDATION |
| Organization’s Mailing Address | 2611 ALA WAI BLVD 1503 |
| City | HONOLULU |
| State | HI |
| ZIP | 96815 |
| Accounting period End | 2 |
| Primary contact name | CHRISTINA SILVA-WIERSCHEM |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHRISTINA SILVA-WIERSCHEM
EXECUTIVE DIRECTOR
2611 ALA WAI BLVD 1503
HONOLULU HI 96815
Officer/Director/Trustee Two
HILARY PICKLE
OFFICER
45-312 HIWALANI PLACE
KANEOHE HI 96744
Officer/Director/Trustee Three
MARION ANO
OFFICER
2833 C HENRY STREET
HONOLULU HI 96817
Officer/Director/Trustee Four
JENNIFER CARLSON
OFFICER
2309 FERDINAND AVE
HONOLULU HI 96822
Officer/Director/Trustee Five
EMILY EMINA
OFFICER
30961 VIA ERRECARTE
SAN JUAN CAPISTRANO CA 92675
| Organization’s website | THISONEBREATH.ORG |
|---|---|
| Organization’s email | CHRISTINA.MARIE@MAC.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/14/2020 |
| Organization Incorporation State | HI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P40 - Family Services |
| 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 | 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 | CHRISTINA SILVA-WIERSCHEM |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 4/21/2020 |
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