FORM 1023-EZ for KAIMUKI YOUTH DEVELOPMENT ORGANIZATION

Field Data
EIN 81-3806083
Case Number EO-2016274-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KAIMUKI YOUTH DEVELOPMENT ORGANIZATION
Organization’s Mailing Address 747 WILIWILI STREET UNIT 802
City HONOLULU
State HI
ZIP 96826-4162
Accounting period End 12
Primary contact name KEEVAN MATSUMOTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEEVAN MATSUMOTO
PRESIDENT
747 WILIWILI STREET UNIT 802
HONOLULU HI 96826-4162

Officer/Director/Trustee Two

REID YOSHIKAWA
VICE PRESIDENT
2534 KAPIOLANI BLVD UNIT 401
HONOLULU HI 96826-4711

Officer/Director/Trustee Three

REID PAMATIGAN
SECRETARY
1212 16TH AVENUE
HONOLULU HI 96816-4215

Officer/Director/Trustee Four

KAPENA WONG
TREASURER
98-925 NOELANI STREET
PEARL CITY HI 96782-3558

Officer/Director/Trustee Five

DAVID TAUTOFI
ASSISTANT SECRETARY
94-432 OPEHA STREET
WAIPAHU HI 96797-4513

Organization’s website
Organization’s email KEEVANM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2016
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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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