FORM 1023-EZ for BIRD AND BEE HAWAII ANIMAL SANCTUARY

Field Data
EIN 84-3932001
Case Number EO-2019364-000062
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIRD AND BEE HAWAII ANIMAL SANCTUARY
Organization’s Mailing Address 46-3991 OLD MAMALAHOA HWY
City HONOKAA
State HI
ZIP 96727
Accounting period End 12
Primary contact name SUSAN COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN COLLINS
DIRECTOR
46-3991 OLD MAMALAHOA HWY
HONOKAA HI 96727

Officer/Director/Trustee Two

VINCENT ANDREW COLLINS
OFFICER
46-3991 OLD MAMALAHOA HWY
HONOKAA HI 96727

Officer/Director/Trustee Three

LEE MICHAEL WALZCUK
TRUSTEE
PO BOX 327
MTN. VIEW HI 96771

Officer/Director/Trustee Four

ELIZABETH MALLION
TRUSTEE
46-3932 KAHANA DR
HONOKAA HI 96727

Officer/Director/Trustee Five

HELENA LUNBLAD
TRUSTEE
PO BOX 444
LAUPAHOEHOE HI 96764

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2019
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 SUSAN COLLINS
Signature Title DIRECTOR
Signature Date 12/26/2019

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