FORM 1023-EZ for GARDEN ISLAND RENEGADE ROLLERS

Field Data
EIN 27-1352488
Case Number EO-2019242-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GARDEN ISLAND RENEGADE ROLLERS
Organization’s Mailing Address PO BOX 780
City KAPAA
State HI
ZIP 96746
Accounting period End 12
Primary contact name ANNI CAPORUSCIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LONI DELAPLANE
PRESIDENT
280B HUINA
KAPAA HI 96746

Officer/Director/Trustee Two

ANNELOUISE CAPORUSCIO
SECRETARY
PO BOX 780
KAPAA HI 96746

Organization’s website WWW.GARDENISLANDRENEGADEROLLERZ.COM
Organization’s email G.I.RENEGADES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2019
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: 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 Yes
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 ANNELOUISE CAPORUSCIO
Signature Title SECRETARY
Signature Date 8/28/2019
EIN 27-1352488
Case Number EO-2015279-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GARDEN ISLAND RENEGADE ROLLERZ
Organization’s Mailing Address PO BOX 1152
City KALAHEO
State HI
ZIP 96741
Accounting period End 12
Primary contact name MICHELLE PACILIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANAIK MARTIN
PRESIDENT
PO BOX 581
KILAUEA HI 96754

Officer/Director/Trustee Two

GURU BANI KHALSA
VICE PRESIDENT
326A HUINA ST
KAPAA HI 96746

Officer/Director/Trustee Three

MICHELLE PACILIO
TREASURER
PO BOX 1152
KALAHEO HI 96741

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/2009
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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