FORM 1023-EZ for NOURISH KAUAI OHANA

Field Data
EIN 87-1689468
Case Number EO-2021215-000095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NOURISH KAUAI OHANA
Organization’s Mailing Address 143 POKUKALA ST
City KAPAA
State HI
ZIP 96746
Accounting period End 12
Primary contact name KAROLYN FREULER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAROLYN FREULER
CHAIRPERSON
143 POKUKALA ST
KAPAA HI 96746

Officer/Director/Trustee Two

KEN RUTZ
VICE CHAIRPERSON
40 ROCKY RIDGE DRIVE
BELLINGHAM WA 98229

Officer/Director/Trustee Three

ESTHER PEREZ
TREASURER
5864 OHE ST
KAPAA HI 96746

Officer/Director/Trustee Four

JOANNA PALMER
SECRETARY
3291 KALAPAKI CIRCLE
LIHUE HI 96766

Officer/Director/Trustee Five

JOELL EDWARDS
ADVISOR
PO BOX 570
HANALEI HI 96714

Organization’s website WWW.NOURISHKAUAI.ORG
Organization’s email NOURISHKAUAIOHANA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2021
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 Yes
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 KAROLYN FREULER
Signature Title CHAIRPERSON
Signature Date 8/1/2021

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