FORM 1023-EZ for FLOATING COCONUTS OUTRIGGER CANOE CLUB

Field Data
EIN 66-0952111
Case Number EO-2020237-000397
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLOATING COCONUTS OUTRIGGER CANOE CLUB
Organization’s Mailing Address PO BOX 997835
City PAGO PAGO
State AS
ZIP 96799
Accounting period End 12
Primary contact name KATRINA MARINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES TAMSESE
DIRECTOR, PRESIDENT, BOARD CHAIRMAN
VAITOGI
PAGO PAGO AS 96799

Officer/Director/Trustee Two

CHRISTA SATELE
DIRECTOR, VICE PRESIDENT
VAILOATAI
PAGO PAGO AS 96799

Officer/Director/Trustee Three

KATRINA MARINER
DIRECTOR, SECRETARY
VAITOGI
PAGO PAGO AS 96799

Officer/Director/Trustee Four

TAALOGA DRABBLE
DIRECTOR
ILIILI
PAGO PAGO AS 96799

Officer/Director/Trustee Five

AMBROSE FAATOAFE
TREASURER
VAILOATAI
PAGO PAGO AS 96799

Organization’s website
Organization’s email FLOATINGCOCONUTSOCC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2020
Organization Incorporation State AS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 KATRINA MARINER
Signature Title DIRECTOR, SECRETARY
Signature Date 8/20/2020

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