FORM 1023-EZ for PACIFIC ARTWAVES

Field Data
EIN 82-2369802
Case Number EO-2017219-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PACIFIC ARTWAVES
Organization’s Mailing Address P O BOX 5154
City KAILUA KONA
State HI
ZIP 96745
Accounting period End 12
Primary contact name MARY E MANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY MANN
PRESIDENT
835630 MIDDLE KEEI ROAD
CAPTAIN COOK HI 96704

Officer/Director/Trustee Two

DOUGLAS GREEN
VICE-PRESIDENT
763027 HOLUALOA HUI ROAD
KAILUA KONA HI 96740

Officer/Director/Trustee Three

MORTON BASSAN
TREASURER
87-3599 MAMALAHOA HWY
CAPTAIN COOK HI 96704

Organization’s website WWW.PACIFICARTWAVES.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2016
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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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