FORM 1023-EZ for KA PA HULA I MANA INC

Field Data
EIN 45-3590972
Case Number EO-2017109-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KA PA HULA I MANA INC
Organization’s Mailing Address 506 W SANTA CATALINA RD
City PALM SPRINGS
State CA
ZIP 92262
Accounting period End 12
Primary contact name TONY BRUGGEMANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOANNE BRUGGEMANS
SECRETARY
506 W SANTA CATALINA RD
PALM SPRINGS CA 92262

Officer/Director/Trustee Two

TONY BRUGGEMANS
PRESIDENT
506 W SANTA CATALINA RD
PALM SPRINGS CA 92262

Officer/Director/Trustee Three

NOEL FOUTZ
VICE-PRESIDENT
506 W SANTA CATALINA RD
PALM SPRINGS CA 92262

Officer/Director/Trustee Four

ROWENA NORIEGA
TREASURER
78-891 EDGEBROOK LN
PALM DESERT CA 92211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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