FORM 1023-EZ for WAIMEA COMMUNITY ASSOCIATION

Field Data
EIN 46-1494781
Case Number EO-2014322-000149
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WAIMEA COMMUNITY ASSOCIATION
Organization’s Mailing Address PO BOX 916
City KAMUELA
State HI
ZIP 96743
Accounting period End 12
Primary contact name PAUL JOHNSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERMAN WARNER
PRESIDENT
62-2040 MAHUA STREET
KAMUELA HI 96743

Officer/Director/Trustee Two

PAUL JOHNSTON
TREASURER
64-604 MANA ROAD
KAMUELA HI 96743

Officer/Director/Trustee Three

PATRICIA COOK
VICE PRESIDENT
64-5246 IOKUA STREET
KAMUELA HI 96743

Officer/Director/Trustee Four

NANCY CARR-SMITH
SECRETARY
62-2007 MAHUA STREET
KAMUELA HI 96743

Officer/Director/Trustee Five

WAYNE HIGAKI
DIRECTOR
68-3673 LAHILAHI STREET
WAIKOLOA HI 96738

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2012
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W24 - Citizen Participation
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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