FORM 1023-EZ for HAWAII KEIKI MUSEUM

Field Data
EIN 86-2171601
Case Number EO-2021091-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAWAII KEIKI MUSEUM
Organization’s Mailing Address PUU NUI ST
City WAIKOLOA
State HI
ZIP 96738
Accounting period End 12
Primary contact name DANA MCLAUGHLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA MCLAUGHLIN
PRESIDENT AND CEO
68-1917 PUU NUI ST
WAIKOLOA HI 96738

Officer/Director/Trustee Two

KEVIN MCLAUGHLIN
CHAIRMAN OF THE BOARD
P68-1917 UU NUI ST
WAIKOLOA HI 96738

Officer/Director/Trustee Three

WARREN KIRSCH
ADVISOR
D4161 ONALD DRIVE
PALO ALTO CA 94306

Organization’s website HTTP://HAWAIIKEIKIMUSEUM.COM
Organization’s email DANA@HAWAIIKEIKIMUSEUM.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2020
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A52 - Children's Museums
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
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 DANA MCLAUGHLIN
Signature Title PRESIDENT AND CEO
Signature Date 2/19/2021

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