Application For Recognition Of Exemption From The Registration (Page 2 of 4) in pdf

Application For Recognition Of Exemption From The Registration Page 2

URS Exemption Form

Page 2

REASON FOR EXEMPTION:

Please check the appropriate exemption box under H.R.S. § 467 B-11.5

A duly organized religious corporation, institution or society. Please provide documents that

substantiate that you are a duly organized religious corporation, institution or society.

Note: A duly organized religious corporation, institution or society is one recognized as exempt from

income taxation by the Internal Revenue Service under section 501(c)(3). Thus, the applicant must

submit substantiation that the applicant is a "church," an integrated auxiliary of a church, or

nondenominational ministries, interdenominational and ecumenical organizations, and other entities

whose principal purpose is the study or advancement of religion. If the applicant is neither a church

nor integrated auxiliary, please submit a copy of your IRS determination letter with this application.

Please consult IRS Publication No. 1828 for guidance on religious corporations and organizations

exempt from taxation.

A parent-teacher association or educational institution, the curricula of which in whole or in

part are registered or approved by any state of the United States either directly or by

Note: Private schools in Hawaii that

acceptance of accreditation by a an accrediting body.

are licensed by the Hawaii Council of Private Schools or are accredited by the Hawaii

Association of Independent Schools satisfy this exemption. Please indicate whether your

organization is licensed or accredited accordingly:

□ Licensed by Hawaii Council of Private Schools

□ Accredited by Hawaii Association of Independent Schools

A nonprofit hospital licensed by the State or any similar provision of the laws of any other

state. Please provide your license number and the state of issuance.

A governmental unit or instrumentality of any state or the United States. Please explain why

your organization is a governmental unit or instrumentality in the space provided below:

A person who solicits solely for the benefit of organizations described in paragraphs “1” to

“4”; and

URS exemption form.doc

Application For Recognition Of Exemption From The Registration Page 2