FORM 1023-EZ for KIERNAN SURFING ASSOCIATION

Field Data
EIN 37-1953675
Case Number EO-2020276-000049
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIERNAN SURFING ASSOCIATION
Organization’s Mailing Address 504 AVANT AVE C
City SARASOTA
State FL
ZIP 34232
Accounting period End 12
Primary contact name CHARLES KUNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES KUNES
CO-VICE-DIRECTOR, PRESIDENT
504 AVANT AVE C
SARASOTA FL 34232

Officer/Director/Trustee Two

DALE DALESSIO
CHIEF EXECUTIVE DIRECTOR (CHAIRMAN)
1167 TAJI CT
HERNDON VA 20170 VA 20170

Officer/Director/Trustee Three

THEODORE BRANTLY
CO-VICE-DIRECTOR, SECRETARY
330 SHORE DRIVE C-20
HIGHLANDS NJ 07732

Officer/Director/Trustee Four

ROBIN JACOB HINES JACOB HINES
DIRECTOR
315 OXFORD WAY
NEPTUNE NJ 07753

Officer/Director/Trustee Five

CATO REGISTERED AGENT JOHNSON
REGISTERED AGENT
480 NEPTUNE AVE
LONG BRANCH NJ 07740-7719

Organization’s website SURFKSAUSA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2019
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLES KUNES
Signature Title CO-VICE-DIRECTOR, PRESIDENT
Signature Date 9/30/2020

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