FORM 1023-EZ for KAUAI 4-H LIVESTOCK CLUB

Field Data
EIN 99-0225031
Case Number EO-2018337-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KAUAI 4-H LIVESTOCK CLUB
Organization’s Mailing Address 3060 EIWA ST STE 210
City LIHUE
State HI
ZIP 96766
Accounting period End 12
Primary contact name LAURA KAWAMURA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY PIMENTAL
4-H VOLUNTEER LEADER
PO BOX 1229
LAWAI HI 96765

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/83
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 Yes
Correctness Declaration Yes
Signature Name TRACY PIMENTAL
Signature Title 4-H VOLUNTEER LEADER
Signature Date 11/29/18

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