FORM 1023-EZ for AHAHUI HAWAII O MINNESOTA

Field Data
EIN 46-2501642
Case Number EO-2015152-000137
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AHAHUI HAWAII O MINNESOTA
Organization’s Mailing Address 4845 W 123RD ST APT 204
City SAVAGE
State MN
ZIP 55378
Accounting period End 12
Primary contact name JENNIFER URBAN - CAF NO 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAWIKA KOLOMONA KAMAKEEAINA
PRESIDENT
4845 W 123RD ST UNIT 204
SAVAGE MN 55378

Officer/Director/Trustee Two

ARLENE JO LUM
TREASURER
11811 UNDERCLIFF ST NW
COON RAPIDS MN 55433

Officer/Director/Trustee Three

MICHELLE LYNN VELASCO
SECRETARY
7455 FRANCE AVE S UNIT 214
EDINA MN 55435

Officer/Director/Trustee Four

JERRY SIDNEY FREITAS
BOARD MEMBER
11661 LAKEVIEW CT
CHAMPLAIN MN 55316

Officer/Director/Trustee Five

JEFFREY ALLEN ENSTAD
BOARD MEMBER
742 COUNTY ROAD B WEST
ROSEVILLE MN 55113

Organization’s website WWW.AHAHUIMN.ORG
Organization’s email CONTACTUS@AHAHUIMN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2013
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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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