FORM 1023-EZ for HJA BOOSTER CLUB

Field Data
EIN 45-2070323
Case Number EO-2020045-000343
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HJA BOOSTER CLUB
Organization’s Mailing Address 99-850 IWAENA STREET
City AIEA
State HI
ZIP 96701
Accounting period End 12
Primary contact name DAN HARA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN IM
SECRETARY
98-448 PONO STREET
AIEA HI 96701

Officer/Director/Trustee Two

RANDY GUEVARA
TREASURER
94-383 KAPUAHI STREET
MILILANI HI 96789

Officer/Director/Trustee Three

WAYNE HIRANO
DIRECTOR
2051 YOUNG STREET
HONOLULU HI 96826

Officer/Director/Trustee Four

LANCE TENGAN
DIRECTOR
1755 WALEA UKA PLACE
WAHIAWA HI 96786

Officer/Director/Trustee Five

DAN HARA
DIRECTOR
560 N NIMITZ HWY
HONOLULU HI

Organization’s website
Organization’s email DANHARA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2011
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 DAN HARA
Signature Title DIRECTOR
Signature Date 2/12/2020

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