FORM 1023-EZ for DRAGONFLY HEALING CENTER INC

Field Data
EIN 84-3197387
Case Number EO-2019275-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DRAGONFLY HEALING CENTER INC
Organization’s Mailing Address 11 OHIA LEO PLACE
City WAILUKU
State HI
ZIP 96793
Accounting period End 12
Primary contact name 84-3197387
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA SUTOR
PRESIDENT
11 OHIA LEO PLACE
WAILUKU HI 96793

Officer/Director/Trustee Two

ROCHELLE MCLAUGHLIN
SECRETARY
11 OHIA LEO PLACE
WAILUKU HI 96793

Officer/Director/Trustee Three

CAROLINA CERVANTES
TREASURER
11 OHIA LEO PLACE
WAILUKU HI 96793

Officer/Director/Trustee Four

GINA WAOTA
DIRECTOR
11 OHIA LEO PLACE
WAILUKU HI 96793

Organization’s website
Organization’s email MELISSA@DRAGONFLYCENTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/19
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELISSA SUTOR
Signature Title PRESIDENT
Signature Date 9/30/19

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