FORM 1023-EZ for CAMP ALOHA

Field Data
EIN 81-2753899
Case Number EO-2016190-000788
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP ALOHA
Organization’s Mailing Address 629 N LUCIA AVE
City REDONDO BEACH
State CA
ZIP 90277
Accounting period End 12
Primary contact name KEVIN LEE FUJIMOTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN LEE FUJIMOTO
EXECUTIVE DIRECTOR
629 N LUCIA AVE
REDONDO BEACH CA 90277

Officer/Director/Trustee Two

KATHLEEN LEVY
PRESIDENT
629 N LUCIA AVE
REDONDO BEACH CA 90277

Officer/Director/Trustee Three

SHANNON HOLZMILLER
VICE PRESIDENT
2308 CURTIS AVE UNIT A
REDONDO BEACH CA 90278

Officer/Director/Trustee Four

SCOTT SANDBERG
SECRETARY
4813 VANDERHILL ROAD
TORRANCE CA 90505

Officer/Director/Trustee Five

BRETT JORDAN
TREASURER
1953 UPLAND STREET
RANCHO PALOS VERDES CA 90275

Organization’s website CAMP-ALOHA.ORG
Organization’s email CAMP.ALOHA.ORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, 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 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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