FORM 1023-EZ for KOHALA KOBOJI MISSION

Field Data
EIN 80-0961553
Case Number EO-2017025-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KOHALA KOBOJI MISSION
Organization’s Mailing Address PO BOX 265
City KAPAAU
State HI
ZIP 96755
Accounting period End 12
Primary contact name EDWARD FETZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MASAAKI MIYAZAKI
DIRECTOR, PRESIDENT
76-5945 MAMALAHOA HWY
HOLUALOA HI 96725

Officer/Director/Trustee Two

JOYCE OHTA
DIRECTOR
53-4276 AKONI PULE HWY
KAPAAU HI 96755

Officer/Director/Trustee Three

GLEN GUSHIKEN
DIRECTOR
553535 KAAUHUHU RD
HAWI HI 96719

Officer/Director/Trustee Four

GINO AMAR
DIRECTOR
55-3464 HIKIAUPEA ST
HAWI HI 96719

Officer/Director/Trustee Five

EDWARD FETZER
DIRECTOR
PO BOX 390864
KEAUHOU HI 96739

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2013
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X50 - Buddhist
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 80-0961553
Case Number EO-2014252-000102
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KOHALA KOBOJI MISSION
Organization’s Mailing Address PO BOX 1434
City KAPAAU
State HI
ZIP 96755
Accounting period End 12
Primary contact name EDWARD FETZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MASAAKI MIYAZAKI
DIRECTOR, PRESIDENT
76-5945 MAMALAHOA HWY
HOLUALOA HI 96725

Officer/Director/Trustee Two

JOYCE OHTA
DIRECTOR
53-4276 AKONI PULE HWY
KAAPAAU HI 96755

Officer/Director/Trustee Three

GLENN GUSHIKEN
DIRECTOR
55-3535 KAAUHUHU RD
HAWI HI 96719

Officer/Director/Trustee Four

GINO AMAR
DIRECTOR
55-3464 HIKIAUPEA ST
HAWI HI 96719

Officer/Director/Trustee Five

EDWARD FETZER
DIRECTOR
402 WEST BROADWAY SUITE 400
SAN DIEGO CA 92101

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2013
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X50 - Buddhist
Organization’s purpose Charitable: No
Religious: Yes
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
Signature Title
Signature Date

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