FORM 1023-EZ for WAIMEA HAWAIIAN CIVIC CLUB

Field Data
EIN 46-2207539
Case Number EO-2019333-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAIMEA HAWAIIAN CIVIC CLUB
Organization’s Mailing Address P O BOX 6305
City KAMUELA
State HI
ZIP 96743
Accounting period End 12
Primary contact name EDITH KAWAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDITH KAWAI
PRESIDENT
65-1234 PUU OPELU ROAD
KAMUELA HI 96743-8485

Officer/Director/Trustee Two

ERIK FLORES
1ST VICE PRESIDENT
P O BOX 6918
KAMUELA HI 96743

Officer/Director/Trustee Three

MARIAN KAPUNIAI
2ND VICE PRESIDENT
P O BOX 6753
KAMUELA HI 96743

Officer/Director/Trustee Four

LAHELA JARRETT-HOLMWOOD
TREASURER
P O BOX 383523
WAIKOLOA HI 96738-3523

Officer/Director/Trustee Five

CYNTHIA HEINJUS
SECRETARY
P O BOX 385178
WAIKOLOA HI 96738

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/19
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 EDITH KAWAI
Signature Title PRESIDENT
Signature Date 11/26/19

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