FORM 1023-EZ for MALAMA O KEEI BEACH ASSOCIATION

Field Data
EIN 85-3443867
Case Number EO-2021030-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MALAMA O KEEI BEACH ASSOCIATION
Organization’s Mailing Address 83-669 KEEI BEACH ROAD
City CAPTAIN COOK
State HI
ZIP 96704
Accounting period End 12
Primary contact name JACQUELINE M AWA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE AWA
TREASURER
75-5273 MAMALAHOA HWY
HOLUALOA HI 96725

Officer/Director/Trustee Two

DOLLY ANDRADE
PRESIDENT
83-669 KEEI BEACH ROAD
CAPTAIN COOK HI 96704

Officer/Director/Trustee Three

KAHOKU KAWAIHOA
VICE PRESIDENT
PO BOX 954
KEALAKEKUA HI 96750

Officer/Director/Trustee Four

ROSEMARIE PUNSALAN
SECRETARY
PO BOX 1961
KEAAU HI 96749

Officer/Director/Trustee Five

GORDON LESLIE
PARLIAMENTARIAN
82-6012 MANINI BEACH ROAD
CAPTAIN COOK HI 96704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2020
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JACQUELINE AWA
Signature Title TREASURER
Signature Date 12/11/2020

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