FORM 1023-EZ for KA AHA LAHUI O OLEKONA HAWAIIAN CIVIC CLUB

Field Data
EIN 84-2980282
Case Number EO-2019360-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KA AHA LAHUI O OLEKONA HAWAIIAN CIVIC CLUB
Organization’s Mailing Address 2900 SE CORNELIUS PASS RD STE 111
City HILLSBORO
State OR
ZIP 97123-6766
Accounting period End 12
Primary contact name NANCY L THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY RIVERA
PRESIDENT
1218 JOSEPHINE ST
OREGON CITY OR 97045

Officer/Director/Trustee Two

SELENA YOKOYAMA
VICE PRESIDENT
7030 SW 99TH PL
BEAVERTON OR 97008

Officer/Director/Trustee Three

NANCY THOMPSON
TREASURER
610 NW 176TH CT
BEAVERTON OR 97006

Officer/Director/Trustee Four

NATLIE DUTRO
SECRETARY
17877 SW WOODBURY CT
ALOHA OR 97007

Officer/Director/Trustee Five

AARON HELENIHI
BOARD MEMBER
19002 SE 16TH ST
VANCOUVER WA 98683

Organization’s website KALOHCC.ORG
Organization’s email INFO@KALOHCC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2019
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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 NANCY THOMPSON
Signature Title TREASURER
Signature Date 12/23/2019

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