FORM 1023-EZ for AMVETS PEARL HARBOR SERVICE CORP

Field Data
EIN 83-2928511
Case Number EO-2019030-000343
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMVETS PEARL HARBOR SERVICE CORP
Organization’s Mailing Address 92-7049 ELELE ST SUITE 46
City KAPOLEI
State HI
ZIP 96707
Accounting period End 12
Primary contact name MICHAEL FERREIRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL FERREIRA
PRESIDENT
927049 ELELE ST 46B
KAPOLEI HI 96707

Officer/Director/Trustee Two

MELINDA BUCK
SECRETARY
927049 ELELE ST
KAPOLEI HI 96707

Officer/Director/Trustee Three

LARRY DEMBINSKI
TREASURER
91-1010 AEOIA ST
EWA BEACH HI 96706

Officer/Director/Trustee Four

MICAL MESOT
DIRECTOR
921323 PANANA ST 43
MAKAKILO HI 96707

Officer/Director/Trustee Five

ASHLEY GAONA
DIRECTOR
92-809 OPALIPALI ST
KAPOLEI HI 96707

Organization’s website
Organization’s email MICKFERREIRA@AMVETS PEARLHARBOR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/18
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL FERREIRA
Signature Title PRESIDENT
Signature Date 12/24/18

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