FORM 1023-EZ for FUERZA FC CLUB

Field Data
EIN 47-4738768
Case Number EO-2015303-000127
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FUERZA FC CLUB
Organization’s Mailing Address 3426 PAKUI STREET APT A
City HONOLULU
State HI
ZIP 96816-2872
Accounting period End 12
Primary contact name SALVADOR CABRERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SALVADOR CABRERA
PRESIDENT, TREASURER
3426 PAKUI STREET APT A
HONOLULU HI 96816-2872

Officer/Director/Trustee Two

JOAN KONDO-BRIGHT
VICE-PRESIDENT
PO BOX 634
HONOLULU HI 96809

Officer/Director/Trustee Three

LORETTA ANN CHUN
SECRETARY
95-202 AHOKA PLACE
MILILANI HI 96789

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2015
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: Yes
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 Yes
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 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
Signature Title
Signature Date

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