FORM 1023-EZ for GREEN HALE

Field Data
EIN 47-5009795
Case Number EO-2015287-000094
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREEN HALE
Organization’s Mailing Address 808 22ND AVE
City HONOLULU
State HI
ZIP 96816-4522
Accounting period End 12
Primary contact name ELLEN KAWATA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELLEN KAWATA
EXECUTIVE DIRECTOR
808 22ND AVE
HONOLULU HI 96816-4522

Organization’s website
Organization’s email EGKAWATA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2015
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E91 - Nursing, Convalescent Facilities
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 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
Signature Title
Signature Date

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