FORM 1023-EZ for HAWAII MOUNTAIN BIKE ASSOCIATION

Field Data
EIN 82-2722440
Case Number EO-2017265-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAWAII MOUNTAIN BIKE ASSOCIATION
Organization’s Mailing Address 55-607 NANILAO LOOP APT B
City LAIE
State HI
ZIP 96762
Accounting period End 12
Primary contact name MICHAEL RON SOLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL SOLIS
PRESIDENT
55-607 NANILOA LOOP APT B
LAIE HI 96762

Officer/Director/Trustee Two

SCOTT CHANEY
VICE PRESIDENT
2336 LILOA RISE
HONOLULU HI 96822

Officer/Director/Trustee Three

CHESTER ROLKA III
SECRETARY
P O BOX 1147
AIEA HI 96762

Officer/Director/Trustee Four

EVERETT JELLINEK
TREASURER
2916 LAUOHA PLACE
HONOLULU HI 96813

Officer/Director/Trustee Five

ALICIA PHILLIPS
BOARD MEMBER
5476 GALLUP WAY
WAHIAWA HI 96786

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2017
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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