| Field | Data |
|---|---|
| EIN | 86-1894669 |
| Case Number | EO-2021166-000083 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KAUAI MENTAL HEALTH ADVOCATES |
| Organization’s Mailing Address | PO BOX 941 |
| City | LIHUE |
| State | HI |
| ZIP | 96766 |
| Accounting period End | 12 |
| Primary contact name | FRANCI DAVILA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
FRANCI DAVILA
EXECUTIVE DIRECTOR
5973 LOKELANI RD
KAPAA HI 96746
ALLYN SCOTT
TREASURER
4153 AIKEPA STREET
LIHUE HI 96766
BELGICA HEREDIA
DIRECTOR
5837 OLOHENA ROAD
KAPAA HI 96746
WARREN DASTRUP
DIRECTOR
PO BOX 1682
KAPAA HI 96746
ALLISON FRASCATORE
DIRECTOR
PO BOX 367
KOLOA HI 96756
| Organization’s website | KAUAIMHA.ORG |
|---|---|
| Organization’s email | CONTACT@KAUAIMHA.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/4/2019 |
| Organization Incorporation State | HI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F99 - Mental Health, Crisis Intervention N.E.C. |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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 | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| 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 | FRANCI DAVILA |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 6/13/2021 |
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