FORM 1023-EZ for ISLAND HEALTHCAREERS ACADEMY

Field Data
EIN 84-1937503
Case Number EO-2019191-000391
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ISLAND HEALTHCAREERS ACADEMY
Organization’s Mailing Address 73-1079 ALIHILANI DR
City KAILUA-KONA
State HI
ZIP 96740
Accounting period End 12
Primary contact name KARA OSADA DAVELLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARA OSADA-DAVELLA
PRESIDENT
73-1079 ALIHILANI DR
KAILUA-KONA HI 96740

Officer/Director/Trustee Two

CRYSTAL CHARKOWSKI
SECRETARY
75-6008 ALII DRIVE UNIT 105
KAILUA-KONA HI 96740

Officer/Director/Trustee Three

ADRIAN CHARKOWSKI
TREASURER
75-6008 ALII DRIVE UNIT 105
KAILUA-KONA HI 96740

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/19
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M41 - First Aid Training, Services
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 KARA OSADA-DAVELLA
Signature Title PRESIDENT
Signature Date 7/8/19

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