FORM 1023-EZ for REBELS ATHLETIC ASSOCIATION

Field Data
EIN 84-4751697
Case Number EO-2020051-000250
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REBELS ATHLETIC ASSOCIATION
Organization’s Mailing Address PO BOX 6942
City HILO
State HI
ZIP 96720
Accounting period End 12
Primary contact name REYN SHIMOOKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REYN SHIMOOKA
PRESIDENT
PO BOX 6942
HILO HI 96720

Officer/Director/Trustee Two

CAROL KOW
VICE PRESIDENT
PO BOX 6942
HILO HI 96720

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2020
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REYN SHIMOOKA
Signature Title PRESIDENT
Signature Date 2/18/2020

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