FORM 1023-EZ for KOKO HEAD MARTIAL ARTS ACADEMY

Field Data
EIN 83-0887111
Case Number EO-2018197-000449
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KOKO HEAD MARTIAL ARTS ACADEMY
Organization’s Mailing Address 1531-A DOMINIS STREET
City HONOLULU
State HI
ZIP 96822-3242
Accounting period End 6
Primary contact name ANNETTE KIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRANCE LUM
PRESIDENT
1326 KUPAU STREET
KAILUA HI 96734-3468

Officer/Director/Trustee Two

ANNETTE KIM
VICE PRESIDENT
1531-A DOMINIS STREET
HONOLULU HI 96822-3242

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/18
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 ANNETTE KIM
Signature Title VICE PRESIDENT
Signature Date 7/13/18

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