FORM 1023-EZ for ROTARY CLUB OF NORTH HAWAII FOUNDATION

Field Data
EIN 83-1694964
Case Number EO-2018243-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF NORTH HAWAII FOUNDATION
Organization’s Mailing Address PO BOX 1997
City KAMUELA
State HI
ZIP 96743
Accounting period End 6
Primary contact name THOMAS PLUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS PLUM
TREASURER
59-542 WAIHONA PLACE
KAMUELA HI 96743

Officer/Director/Trustee Two

JAMES FRITZ
OFFICER
69-1644 PUOKO BEACH DR
KAMUELA HI 96743

Officer/Director/Trustee Three

ROBERT STOUT
PRESIDENT
68-3927 EHU KAI LOOP
WAIKOLOA HI 96738

Officer/Director/Trustee Four

HEIDI BOGERT
OFFICER
69-555 WAIKOLOA BEACH DR
WAIKOLOA HI 96738

Officer/Director/Trustee Five

ERIK JACOBSON
OFFICER
68-1928 LINE POEPOE ST
WAIKOLOA HI 96738

Organization’s website
Organization’s email TPLUM@PLUMHALL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/18
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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 No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THOMAS PLUM
Signature Title TREASURER
Signature Date 8/29/18

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