FORM 1023-EZ for FRIENDS OF WAIKOLOA VILLAGE DOG PARK

Field Data
EIN 82-3980979
Case Number EO-2018095-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF WAIKOLOA VILLAGE DOG PARK
Organization’s Mailing Address PO BOX 383005
City WAIKOLOA
State HI
ZIP 96738-3005
Accounting period End 6
Primary contact name KAREN GOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RHONDA POLLARD
PRESIDENT
PO BOX 383005
WAIKOLOA HI 96738-3005

Officer/Director/Trustee Two

RHONDA POLLARD
VICE PRESIDENT
PO BOX 383005
KAMUELA HI 96743-8379

Officer/Director/Trustee Three

DEBBIE PLACE
VICE PRESIDENT
68-1913 LINA POEPOE STREET
WAIKOLOA HI 96738-5425

Officer/Director/Trustee Four

KAREN GOORE
SECRETARY
68-1050 MAUNA LANI POINT DR H103
KAMUELA HI 96743-8798

Officer/Director/Trustee Five

LAURIE JO ROGERS
TREASURER
68-1864 PUU NUI ST
WAIKOLOA HI 96738-5232

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/18
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KAREN GOORE
Signature Title SECRETARY
Signature Date 3/20/18

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