FORM 1023-EZ for PEARL HARBOR KIWANIS FOUNDATION

Field Data
EIN 37-1777104
Case Number EO-2015061-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEARL HARBOR KIWANIS FOUNDATION
Organization’s Mailing Address 1902 VENTURA STREET
City HONOLULU
State HI
ZIP 96822-1919
Accounting period End 12
Primary contact name DANIEL KIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIEL KIM
PRESIDENT
99-667 POHUE STREET
AIEA HI 96701-3352

Officer/Director/Trustee Two

ROY FUJINAKA
TREASURER
804 HUGH STREET
PEARL CITY HI 96782-3316

Officer/Director/Trustee Three

KAY TOKUNAGA
SECRETARY
1902 VENTURA STREET
HONOLULU HI 96822-1919

Officer/Director/Trustee Four

JUDY WATANABE
DIRECTOR
2483 AKEPA STREET
PEARL CITY HI 96782-1069

Officer/Director/Trustee Five

SUSAN WONG
DIRECTOR
1840 EAMES STREET
WAHIAWA HI 96786-2610

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2012
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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