FORM 1023-EZ for CAMP HALE KOA ASSOCIATION

Field Data
EIN 45-2416203
Case Number EO-2015058-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP HALE KOA ASSOCIATION
Organization’s Mailing Address C/O 2731 ALA KINOIKI
City KOLOA
State HI
ZIP 96756
Accounting period End 12
Primary contact name RICK BUNDSCHUH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICK BUNDSCHUH
EXECUTIVE DIRECTOR
2733 ALA KINOIKI
KOLOA HI 96756

Officer/Director/Trustee Two

JOE MCEVOY
CONTROLLER
4170 PAI STREET
KALAHEO HI 96741

Officer/Director/Trustee Three

IRA MCROBERTS
DIRECTOR
2733 ALA KINOIKI
KOLOA HI 96756

Officer/Director/Trustee Four

MIKE WELLMAN
DIRECTOR
4301 PALAMA
KALAHEO GU 96741

Officer/Director/Trustee Five

SUSIE WELLMAN
DIRECTOR
4301 PALAMA
KALAHEO HI 96741

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2011
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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