FORM 1023-EZ for POLYNESIAN FITNESS EDUCATION INC

Field Data
EIN 47-1060544
Case Number EO-2015323-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POLYNESIAN FITNESS EDUCATION INC
Organization’s Mailing Address 246 WEST HAMILTON AVE 3
City CAMPBELL
State CA
ZIP 95008
Accounting period End 12
Primary contact name TRUDE SUNIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRUDE SUNIA
DIRECTOR
246 W HAMILTON AVE APT 3
CAMPBELL CA 95008

Officer/Director/Trustee Two

LEPALE LEAUPEPE
DIRECTOR
919 FRUITDALE PLACE
SAN JOSE CA 95126

Officer/Director/Trustee Three

KRYSTAL LEDOUX
SECRETARY/TREASURER
PO BOX 2108
PAGO PAGO AS 96799

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
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 Yes
Gaming Activity Yes
Disaster relief assistance Yes
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
Signature Title
Signature Date

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