FORM 1023-EZ for HAWAII ISLAND ART ALLIANCE

Field Data
EIN 47-4319590
Case Number EO-2015259-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAWAII ISLAND ART ALLIANCE
Organization’s Mailing Address 1267 AUWAE ROAD
City HILO
State HI
ZIP 96720
Accounting period End 5
Primary contact name BOB DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT DOUGLAS
CHIEF TECHNOLOGY OFFICER
1267 AUWAE ROAD
HILO HI 96720

Officer/Director/Trustee Two

GRETCHEN GROVE
TREASURER
POB 40
PEPEEKEO HI 96783

Officer/Director/Trustee Three

AGNETA MATTICE
PRESIDENT
POB 793
VOLCANO HI 96785

Officer/Director/Trustee Four

TRUDEE SIEMANN
VICE PRESIDENT
61 E PALAI ST
HILO HI 96720

Officer/Director/Trustee Five

MEAGAN POLITANO
SECRETARY
POB 7654
HILO HI 96720

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2015
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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