FORM 1023-EZ for HIARTSLAB

Field Data
EIN 83-2359575
Case Number EO-2018320-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIARTSLAB
Organization’s Mailing Address 1253 S BERETANIA STREET 3324
City HONOLULU
State HI
ZIP 96814
Accounting period End 8
Primary contact name MARIA CARMICHAEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STUART ZWAGIL
PRESIDENT
1778 HALEKOA DRIVE
HONOLULU HI 96821

Officer/Director/Trustee Two

ANNE NAMBA
VICE PRESIDENT
1076 KAMEHAME DRIVE
HONOLULU HI 96825

Officer/Director/Trustee Three

MARIA CARMICHAEL
SECRETARY
1025 ALEWA DRIVE
HONOLULU HI 96817

Officer/Director/Trustee Four

KEOKI KERR
DIRECTOR
44-121 LAHA STREET APT 1
KANEOHE HI 96744

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/18
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
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 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 MARIA CARMICHAEL
Signature Title SECRETARY
Signature Date 11/14/18

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