FORM 1023-EZ for HAWAII CEPHALOPOD FOUNDATION

Field Data
EIN 83-2875526
Case Number EO-2019052-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAWAII CEPHALOPOD FOUNDATION
Organization’s Mailing Address 755608 HIENALOLI RD LOT 23
City KAILUA KONA
State HI
ZIP 96740
Accounting period End 12
Primary contact name JACOB CONROY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB CONROY
DIRECTOR
755608 HIENALOLI RD LOT 23
KAILUA KONA HI 96740

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/18
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U21 - Marine Science and Oceanography
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JACOB CONROY
Signature Title DIRECTOR
Signature Date 2/19/19

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