FORM 1023-EZ for KOHALA SCIENCE FOUNDATION

Field Data
EIN 82-0851578
Case Number EO-2017121-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KOHALA SCIENCE FOUNDATION
Organization’s Mailing Address PO BOX 1514
City KAPAAU
State HI
ZIP 96755
Accounting period End 6
Primary contact name HANA ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK HOFFMANN
PRESIDENT
PO BOX 487
HAWI HI 96719

Officer/Director/Trustee Two

PETER SULLENBERGER
SECREATARY
PO BOX 190613
HAWI HI 96719

Officer/Director/Trustee Three

HANAKO ANDERSON
TREASURER
PO BOX 1514
KAPAAU HI 96755-1514

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2017
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 No
Donation of funds Yes
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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