FORM 1023-EZ for MALAMA KEIKI HANAI INC

Field Data
EIN 82-3389221
Case Number EO-2017332-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MALAMA KEIKI HANAI INC
Organization’s Mailing Address 75-5725 LAMAOKEOLA STREET
City KAILUA KONA
State HI
ZIP 96740-1821
Accounting period End 12
Primary contact name BEVERLY FRASER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEVERLY FRASER
PRESIDENT
75-5725 LAMAOKEOLA STREET
KAILUA KONA HI 96740-1821

Officer/Director/Trustee Two

TONI SYMONS
VICE PRESIDENT
PO BOX 2143
KAILUA KONA HI 96745-2143

Officer/Director/Trustee Three

HAILEE JANE BLACK
SECRETARY
PO BOX 807
KAILUA KONA HI 96745-0807

Officer/Director/Trustee Four

MICHAEL FRASER
TREASURER
75-5725 LAMAOKEOLA STREET
KAILUA KONA HI 96740-1821

Officer/Director/Trustee Five

RENEE STIMA
DIRECTOR
77-6420 NALANI STREET
KAILUA KONA HI 96740-9763

Organization’s website
Organization’s email MALAMAKEIKIHANAI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2017
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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