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State of Hawaii
Department of the Attorney General
Tax & Charities Division
425 Queen Street
Honolulu, Hawaii 96813
Phone: (808) 586-1480
Facsimile: (808) 586-8116
(Please print clearly and mail or fax to our office)
APPLICATION FOR RECOGNITION OF EXEMPTION FROM THE REGISTRATION
UNDER HAWAII'S CHARITABLE SOLICITATION LAW, HAWAII REVISED STATUTES
SECTION 467B-11.5
(Please attach copies of all documents that substantiate your application for exemption)
Name of Organization ______________________________________________________________
Street Address:
______________________________________________________________
City
__________________ State
_
Zip Code _________________
Email Address of person completing form (please print clearly) ___________________________
If incorporated, in what state?
FEDERAL EIN NUMBER:
303839_4.DOC