FORM 1023-EZ for LANAI KINAOLE INC

Field Data
EIN 83-2646549
Case Number EO-2018337-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LANAI KINAOLE INC
Organization’s Mailing Address PO BOX 631732
City LANAI CITY
State HI
ZIP 96763
Accounting period End 12
Primary contact name JOHN SCHAUMBURG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MILILANI MARTIN
PRESIDENT/DIRECTOR
PO BOX 631884
LANAI CITY HI 96763

Officer/Director/Trustee Two

CAROL ONUMA
SR. VICE PRESIDENT
PO BOX 630242
LANAI CITY HI 96763

Officer/Director/Trustee Three

GEORGETTE WOOLSEY
VICE PRESIDENT/DIRECTOR
PO BOX 630643
LANAI CITY HI 96763

Officer/Director/Trustee Four

DWIGHT GAMULO
SECRETARY
PO BOX 631392
LANAI CITY HI 96763

Officer/Director/Trustee Five

JOHN SCHAUMBURG
TREASURER/DIRECTOR
PO BOX 631375
LANAI CITY HI 96763

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/18
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 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 JOHN SCHAUMBURG
Signature Title TREASURER/DIRECTOR
Signature Date 11/29/18

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