FORM 1023-EZ for HAWAII EXEMPLARY STATE FOUNDATION

Field Data
EIN 47-1729950
Case Number EO-2014283-000073
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAWAII EXEMPLARY STATE FOUNDATION
Organization’s Mailing Address 47-614 PUAPOO PLACE
City KANEOHE
State HI
ZIP 96744
Accounting period End 12
Primary contact name KENNETH KANESHIRO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KENNETH KANESHIRO
PRESIDENT/CEO
47-614 PUAPOO PLACE
KANEOHE HI 96744

Officer/Director/Trustee Two

DARRYLL WONG
DIRECTOR
3949 DIAMOND HEAD RD
HONOLULU HI 96816

Officer/Director/Trustee Three

KEVIN MONTGOMERY
DIRECTOR
1360 PIPER DR
MILIPITAS CA 95035

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2014
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 Yes
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
Signature Title
Signature Date

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