FORM 1023-EZ for ADAPTIVE SURFERS ACADEMY
| Field | Data |
|---|---|
| EIN | 84-4763358 |
| Case Number | EO-2021146-000418 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ADAPTIVE SURFERS ACADEMY |
| Organization’s Mailing Address | 590-25B HOALUA ST |
| City | HONOLULU |
| State | HI |
| ZIP | 96712 |
| Accounting period End | 12 |
| Primary contact name | CHRIS COURTOIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHRIS COURTOIS
EXECUTIVE DIRECTOR
590-25B HOALUA ST
HONOLULU HI 96712
Officer/Director/Trustee Two
MIKI COURTOIS
SECRETARY
590-25B HOALUA ST
HONOLULU HI 96712
Officer/Director/Trustee Three
SARA DEAN
BOARD MEMBER
PO BOX 4102
CRISTO BUTTE CO 81224
Officer/Director/Trustee Four
COLIN COOK
BOARD MEMBER
1219 TALL PINE DR
APOPKA FL 32712
Officer/Director/Trustee Five
JOSH BOGLE
BOARD MEMBER
245 PAUWELA RD
HAIKU HI 96708
| Organization’s website | |
|---|---|
| Organization’s email | COACHCHRIS808@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/29/2020 |
| 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: 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 | Yes |
| Donation of funds | Yes |
| 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 | CHRIS COURTOIS |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 5/24/2021 |
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