FORM 1023-EZ for KEEP IT KAIMUKI SMALL BUSINESS RELIEF FUND

Field Data
EIN 84-5176762
Case Number EO-2020083-000470
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEEP IT KAIMUKI SMALL BUSINESS RELIEF FUND
Organization’s Mailing Address 3408 WAIALAE AVE STE 102
City HONOLULU
State HI
ZIP 96816
Accounting period End 12
Primary contact name ROSS UEHARA-TILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSS UEHARA-TILTON
DIR/PRES/SEC/TREAS
3408 WAIALAE AVE STE 102
HONOLULU HI 96816

Officer/Director/Trustee Two

JORDAN LEE
DIR/VP
3422 WAIALAE AVE STE 101
HONOLULU HI 96816

Officer/Director/Trustee Three

LIBERTY PERALTA
DIR/VP
3424 WAIALAE AVE
HONOLULU HI 96816

Officer/Director/Trustee Four

JILL HATCH
DIR/VP
1137 11TH AVE STE 101
HONOLULU HI 96816

Officer/Director/Trustee Five

AMANDA WATKINS
DIR/VP
1152 KOKO HEAD AVE STE 202
HONOLULU HI 96816

Organization’s website WWW.KAIMUKIFUND.ORG
Organization’s email KAIMUKIFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2020
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
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 ROSS UEHARA-TILTON
Signature Title DIR/PRES/SEC/TREAS
Signature Date 3/20/2020

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