FORM 1023-EZ for KONA DOGS KOKUA

Field Data
EIN 82-1695660
Case Number EO-2017215-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KONA DOGS KOKUA
Organization’s Mailing Address 77-172 KOAKOA ST
City KAILUA KONA
State HI
ZIP 96740
Accounting period End 12
Primary contact name LOUIS SHEWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOUIS SHEWARD
PRESIDENT, TREASURER
77-172 KOAKOA ST
KAILUA KONA HI 96740

Officer/Director/Trustee Two

SALLY SHEWARD
SECRETARY
77-172 KOAKOA ST
KAILUA KONA HI 96740

Officer/Director/Trustee Three

RUSS SHEWARD
DIRECTOR
4659 SMITH STEWART RD
VIENNA OH 44473

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2017
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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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