FORM 1023-EZ for HAWAII ELEMENTARY AND MIDDLE SCHOOLS ADMINISTRATORS ASSOCIATION

Field Data
EIN 84-4902562
Case Number EO-2020114-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAWAII ELEMENTARY AND MIDDLE SCHOOLS ADMINISTRATORS ASSOCIATION
Organization’s Mailing Address 47-704 HALEMANU STREET
City KANEOHE
State HI
ZIP 96744
Accounting period End 6
Primary contact name BRIAN EZUKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURIE LUCZAK
DIRECTOR/PRESIDENT
99-443 WAOALA PLACE
AIEA HI 96701

Officer/Director/Trustee Two

DALE CASTRO
DIRECTOR/PRESIDENT ELECT
95-215 HOONI PLACE
MILILANI HI 96789

Officer/Director/Trustee Three

SUSAN YOUNG
DIRECTOR/TREASURER
98-633 KILINOE ST APT 1E1
AIEA HI 96701-5505

Officer/Director/Trustee Four

NAOMI MATSUZAKI
DIRECTOR/STATE EXECUTIVE DIRECTOR
47-704 HALEMANU STREET
KANEOHE HI 96744

Officer/Director/Trustee Five

SHANNON GOO
DIRECTOR/REPRESENTATIVE
595 PEPEEKEO ST
HONOLULU HI 96825

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2020
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 NAOMI MATSUZAKI
Signature Title DIRECTOR/STATE EXECUTIVE DIRECTOR
Signature Date 4/21/2020

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