FORM 1023-EZ for KA LAI AINA - HAWAII RECOVERY CENTER
| Field | Data |
|---|---|
| EIN | 47-5047749 |
| Case Number | EO-2017187-000160 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KA LAI AINA - HAWAII RECOVERY CENTER |
| Organization’s Mailing Address | 590 FARRINGTON HWY STE 210 PMB 139 |
| City | KAPOLEI |
| State | HI |
| ZIP | 96707 |
| Accounting period End | 12 |
| Primary contact name | KIMBERLEY GABBARD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KIMBERLEY GABBARD
PRESIDENT-DIRECTOR
590 FARRINGTON HWY STE 210 PMB 104
KAPOLEI HI 96707
Officer/Director/Trustee Two
JACQUELINE DELANO
DIRECTOR
92-1061 KOIO DRIVE VILLA D
KAPOLEI HI 96707
Officer/Director/Trustee Three
RYAN YOSHIMOTO
DIRECTOR
2217 KOMO MAI DRIVE
PEARL CITY HI 96782
Officer/Director/Trustee Four
RYAN BORGES
DIRECTOR
45-126 KUMAKUA PLACE
KANEOHE HI 96744
Officer/Director/Trustee Five
ANGELA FARR
DIRECTOR
1552 TAMPA DRIVE
HONOLULU HI 96819
| Organization’s website | |
|---|---|
| Organization’s email | KALAIAINA55@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/18/2015 |
| Organization Incorporation State | HI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F99 - Mental Health, Crisis Intervention N.E.C. |
| 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 | |
| Signature Title | |
| Signature Date |
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