FORM 1023-EZ for MALAMA HOUSING NETWORK INC

Field Data
EIN 45-2834132
Case Number EO-2014293-000050
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MALAMA HOUSING NETWORK INC
Organization’s Mailing Address PO BOX 60
City KIHEI
State HI
ZIP 96753-0060
Accounting period End 12
Primary contact name THOMAS DOUMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS DOUMA
PRESIDENT
PO BOX 60
KIHEI HI 96753-0060

Officer/Director/Trustee Two

TOM PIERCE
SECRETARY
PO BOX 798
MAKAWAO HI 96768

Officer/Director/Trustee Three

PAMELA BELLO
TREASURER
95 E LIPOA ST
KIHEI HI 96753

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2011
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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