FORM 1023-EZ for KONA KIDS FOUNDATION INC

Field Data
EIN 83-2632386
Case Number EO-2018346-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KONA KIDS FOUNDATION INC
Organization’s Mailing Address 65-1233 PUUKI PLACE
City WAIMEA
State HI
ZIP 96743
Accounting period End 12
Primary contact name CARRIE MCCOY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE MCCOY
PRESIDENT
65-1233 PUUKI PLACE
WAIMEA HI 96743

Officer/Director/Trustee Two

NICKIE LUSE
SECRETARY
1135 ASHBURTON DRIVE
DAYTON OH 45459

Officer/Director/Trustee Three

CHRIS FAHNER
TREASURY
8735 ARDMORE AVE
BRIGHTON MI 48116

Officer/Director/Trustee Four

LARAINE MCCOY
FINANCIAL ADVISOR
4089 BLACKTHORN LANE
DUBLIN OH 43016

Officer/Director/Trustee Five

AARON FRIDENMAKER
TECH ADVISOR
88N 6TH STREET
COLUMBUS OH 43215

Organization’s website KONAKIDS.ORG
Organization’s email COACHMCCOY@JUSTTRI.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/18
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 CARRIE MCCOY
Signature Title PRESIDENT
Signature Date 12/10/18

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