FORM 1023-EZ for KA AHA UAO HEIHEI O HAWAII

Field Data
EIN 82-2054748
Case Number EO-2017233-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KA AHA UAO HEIHEI O HAWAII
Organization’s Mailing Address PO BOX 365
City KEAAU
State HI
ZIP 96749
Accounting period End 12
Primary contact name THOMAS SK CHUN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS CHUN
PRESIDENT
15-1453 30TH AVENUE
KEAAU HI 96749

Officer/Director/Trustee Two

ROBERT MARTIN
VICE-PRESIDENT
94-6282 PUA STREET
NAALEHU HI 96772

Officer/Director/Trustee Three

JOEL PERALTO
TREASURER
1329 OMAOMAO PLACE
HILO HI 96720

Officer/Director/Trustee Four

ADAMS AGTARAP
SECRETARY
1331 MAKANI STREET
HILO HI 96720

Organization’s website NONE
Organization’s email KILOHOKU7@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2017
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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