FORM 1023-EZ for KAUAI BRAVEHEART F C
| Field | Data |
|---|---|
| EIN | 83-3501467 |
| Case Number | EO-2020196-000166 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KAUAI BRAVEHEART F C |
| Organization’s Mailing Address | 1565 WANAAO ROAD UNIT B |
| City | KAPAA |
| State | HI |
| ZIP | 96746 |
| Accounting period End | 12 |
| Primary contact name | MATTHEW HALL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MATTHEW HALL
PRESIDENT
6751 J KOOLAU ROAD
ANAHOLA HI 96703
Officer/Director/Trustee Two
JESSE LAM
TREASURER
1565 WANAAO ROAD
KAPAA HI 96746
Officer/Director/Trustee Three
RACHEL DYBUL
SECRETARY
5111 HASSARD ROAD A
KAPAA HI 96746
Officer/Director/Trustee Four
MARK URE
AT LARGE DIRECTOR
3769 ANUENUE ROAD
LAWAE HI 96765
Officer/Director/Trustee Five
TRACEY ROGOFF
AT LARGE DIRECTOR
4111-C KILAUEA ROAD
KILAUEA HI 96754
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/20/2020 |
| 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: Yes 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MATTHEW HALL |
| Signature Title | PRESIDENT |
| Signature Date | 6/11/2020 |
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