FORM 1023-EZ for MAONA COMMUNITY GARDEN

Field Data
EIN 84-2776174
Case Number EO-2019238-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAONA COMMUNITY GARDEN
Organization’s Mailing Address PO BOX 881
City HONAUNAU
State HI
ZIP 96726
Accounting period End 12
Primary contact name CHANTAL CHUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANTAL CHUNG
PRESIDENT / DIRECTOR
PO BOX 667
CAPTAIN BOOK HI 96704

Officer/Director/Trustee Two

LOVENA SIMMONS
VICE PRESIDENT / DIRECTOR
82-5873C OLD GOVERNMENT ROAD
CAPTAIN COOK HI 96704

Officer/Director/Trustee Three

THELMA MEDEIROS
TREASURER / SECRETARY / DIRECTOR
PO BOX 1607
KEALAKEKUA HI 96750

Organization’s website
Organization’s email MAONACOMMUNITYGARDEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/19
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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 CHANTAL CHUNG
Signature Title PRESIDENT / DIRECTOR
Signature Date 8/21/19

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