FORM 1023-EZ for KALIHI COMMUNITY CENTER

Field Data
EIN 47-2461342
Case Number EO-2015287-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KALIHI COMMUNITY CENTER
Organization’s Mailing Address 1007 DILLINGHAM BLVD SUITE 114
City HONOLULU
State HI
ZIP 96817
Accounting period End 12
Primary contact name JOCELYN FERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARTIN HAN
PRESIDENT
1007 DILLINGHAM BLVD SUITE 114
HONOLULU HI 96817

Officer/Director/Trustee Two

JOCELYN FERNANDEZ
VICE PRESIDENT
1007 DILLINGHAM BLVD SUITE 114
HONOLULU HI 96817

Officer/Director/Trustee Three

ARLENE ALQUERO
SECRETARY/TREASURER
1007 DILLINGHAM BLVD SUITE 114
HONOLULU HI 96817

Organization’s website
Organization’s email KALIHICOMMUNITYCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2014
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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