FORM 1023-EZ for HAWAII VA FOUNDATION

Field Data
EIN 47-1288647
Case Number EO-2015132-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAWAII VA FOUNDATION
Organization’s Mailing Address PO BOX 1708
City KAILUA
State HI
ZIP 96734
Accounting period End 3
Primary contact name ALAN SCHLISSEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GABE AMEY
PRESIDENT
105B KAINALU DRIVE
KAILUA HI 96734

Officer/Director/Trustee Two

JAMES OWENS
VICE PRESIDENT
1160 ULUOPIHI LOOP
KAILUA HI 96734

Organization’s website HAWAIIVA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2014
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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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