FORM 1023-EZ for MAUI CRUSH SOCCER INC

Field Data
EIN 47-5426431
Case Number EO-2016161-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAUI CRUSH SOCCER INC
Organization’s Mailing Address 602 KEA STREET
City KAHULUI
State HI
ZIP 96732
Accounting period End 12
Primary contact name KEOLUONAONA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN URAYANZA
VICE PRESIDENT
1110 HOOMAU PLACE
WAILUKU HI 96793

Officer/Director/Trustee Two

RODNEY KEKONA
PRESIDENT
PO BOX 209
WAILUKU HI 96793

Officer/Director/Trustee Three

BRANDI FERGUSON
TREASURER
253 HALENANI DRIVE
WAILUKU HI 96793

Officer/Director/Trustee Four

HARVEST BAISA
SECRETARY
PO BOX 2083
WAILUKU HI 96793

Officer/Director/Trustee Five

KEOLUONAONA SMITH
DIRECTOR
602 KEA STREET
KAHULUI HI 96732

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2015
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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
Signature Title
Signature Date

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