FORM 1023-EZ for KAJUKENBO SELF-DEFENSE INSTITUTE INC

Field Data
EIN 82-2509353
Case Number EO-2017251-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KAJUKENBO SELF-DEFENSE INSTITUTE INC
Organization’s Mailing Address 1511 NUUANU AVENUE SUITE 12
City HONOLULU
State HI
ZIP 96817
Accounting period End 12
Primary contact name DENNIS BUNDA CMC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARENCE LUNA
CHAIRMAN
777 SOUTH HOTEL STREET SUITE 201
HONOLULU HI 96813

Officer/Director/Trustee Two

NICK AWANA
PRESIDENT
777 SOUTH HOTEL STREET SUITE 201
HONOLULU HI 96813

Officer/Director/Trustee Three

DENNIS BUNDA
SECRETARY-TREASURER
1511 NUUANU AVENUE SUITE 12
HONOLULU HI 96817

Organization’s website WWW.KSDIHQ.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2017
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O53 - Youth Development - Business
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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