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FORM G-6A

PAGE 4

(REV. 2012)

and disbursements for the preschool

all attachments such as the organiza-

Line 13. List the Organization’s

or day-care center must be provided

tion’s articles of incorporation and by-

Hawaii activities and related in-

in addition to and separate from the

laws, that you filed with the IRS. If you

come

from

those

activities.

comparative statement of receipts and

are an organization described in IRC

In the left column, list the organiza-

disbursements for the church.

§§501(c)(4), (6), (8), or (12) (potable

tion’s Hawaii income-generating ac-

water company), submit a signed copy

tivities (e.g., educational programs,

COMPLETING FORM G-6S

of the federal Form 1024, including

social services, garage sales, dona-

all attachments such as the organiza-

tion solicitation). Then, in the right

In addition to completing lines 1 -

tion’s articles of incorporation and by-

column, list the types of income (e.g.,

12D, line 12 item E MUST be submit-

laws, that you filed with the IRS.

program fees, state grants, proceeds

ted with your application:

from garage sales, donations) that the

If the federal Form 1023 or 1024

E. Federal Form 1023 or 1024 — If

organization receives from each activ-

was filed more than three years before

you are an organization described in

ity. Examples are printed on line 13.

this application is made, Form G-6S

IRC §501(c)(3), submit a signed copy

may not be used. You must use Form

of the federal Form 1023, including

G-6.

Is Your Application Complete?

Your application must be completed and submitted with the required attachments as noted below. If your application is

incomplete or missing any of the required attachments, the processing of your application will be delayed and/or your ex-

emption request may be denied.

All applicants must submit the following with their applications:

Check/money order for the registration fee or if the fee was paid provide your GE Hawaii Tax I.D. number.

A copy of your IRS determination letter, or the date it was requested if you have not received it, or a statement

explaining why it was not requested.

Statement to request retroactive approval (if requesting).

Form BB-1, State of Hawaii Basic Business Application (if applicable).

Form N-848, Power of Attorney (if needed).

In addition to the items listed in section A, Form G-6 applicants must submit the following:

A completed Form G-6 including all schedules as noted below:

Schedule A, Statement of Organization.

Schedule B, List of Officers, Directors or Trustees.

Schedule C, Comparative Balance Sheet for Hawaii Activities.

Schedule D, Comparative Statement of Receipts and Disbursements for Hawaii Activities.

Have an authorized person sign, date, and print his/her name and title on the application.

Organizing document (e.g., Articles of Incorporation) including amendments.

Current bylaws and any amendments.

In addition to the items listed in section A, Form G-6S applicants must include the following:

A completed Form G-6S. (Remember to complete page 2.)

Have an authorized person sign, date, and print his/her name and title on the application.

A signed copy of your federal Form 1023 or Form 1024 including ALL attachments that was filed with the IRS.

Instructions For Form G-6 And Form G-6s - Application For Exemption From General Excise Taxes Page 4

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