Field | Data |
---|---|
EIN | 46-5731199 |
Case Number | EO-2014282-000323 |
Form 1023-EZ version | 62014 |
Eligibility Worksheet | 1 |
Organization Name | THE LAVENDER CLINIC |
Organization’s Mailing Address | 3221 WAIALAE AVENUE SUITE 360 |
City | HONOLULU |
State | HI |
ZIP | 96816 |
Accounting period End | 12 |
Primary contact name | SAMUEL HAWK |
Primary contact phone | [Hidden] |
Primary contact phone extension | [Hidden] |
Primary contact fax | [Hidden] |
User fee submitted | $400.00 |
SAMUEL HAWK
CEO, CHAIRMAN, ORGANIZER
848A KUNAWAI LANE
HONOLULU HI 96817
DAWN OGDEN
BOARD MEMBER
848A KUNAWAI LANE
HONOLULU HI 96817
GLENNIS PILGRAM
BOARD MEMBER
14326 ROCHESTER STREET NE
HAM LAKE MN 55304
Organization’s website | WWW.LAVENDERCLINICHAWAII.COM |
---|---|
Organization’s email | |
Organization Incorporated | Yes |
Organization trust | No |
Necessary Organizing Documents | Yes |
Organization Incorporation Date | 7/15/2014 |
Organization Incorporation State | HI |
Contains Limitation | Yes |
Does not expressly empower | Yes |
Contains dissolution | Yes |
National Taxonomy of Exempt Entities (NTEE) code | E30 - Health Treatment Facilities, Primarily Outpatient |
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 | Yes |
Donation of funds | No |
Conducting Activities Outside of United States | No |
Financial transactions with officers | Yes |
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 | |
Signature Title | |
Signature Date |
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