FORM 1023-EZ for HAWAII THERAPEUTIC HORSEBACK RIDING

Field Data
EIN 83-3706463
Case Number EO-2019105-000629
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAWAII THERAPEUTIC HORSEBACK RIDING
Organization’s Mailing Address 1350 MANU MELE ST
City KAILUA
State HI
ZIP 96734
Accounting period End 12
Primary contact name CORRIE KEHAU AGON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORRIE AGON
CHAIR
1350 MANU MELE ST
KAILUA HI 96734

Officer/Director/Trustee Two

BRAD RINNELL
VICE CHAIR
1350 MANU MELE ST
KAILUA HI 96734

Officer/Director/Trustee Three

TUOI AGON
TREASURER
2790 KAHALOA DRIVE APT 203
HONOLULU HI 96822

Officer/Director/Trustee Four

YNYR AGON
SECRETARY
1350 MANU MELE ST
KAILUA HI 96734

Organization’s website
Organization’s email CORRIEKEHAU@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/19
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 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 CORRIE AGON
Signature Title CHAIR
Signature Date 4/13/19

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