FORM 1023-EZ for LE VASA

Field Data
EIN 66-0789512
Case Number EO-2017310-000464
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LE VASA
Organization’s Mailing Address HWY 1 PO BOX 7513
City PAGO PAGO
State AS
ZIP 96799
Accounting period End 12
Primary contact name MICHAEL MCDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULA STEVENSON MCDONALD
PRESIDENT
HWY 1 PO BOX 7513
PAGO PAGO AS 96799

Officer/Director/Trustee Two

MICHAEL MCDONALD
EXECUTIVE VP
HWY 1 PO BOX 7513
PAGO PAGO AS 96799

Organization’s website LEVASA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2014
Organization Incorporation State AS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 66-0789512
Case Number EO-2015330-000005
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LE VASA INC
Organization’s Mailing Address HWY 1 BOX 7513
City PAGO PAGO
State AS
ZIP 96799
Accounting period End 12
Primary contact name MICHAEL MCDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAULA STEVENSON-MCDONALD
PRES
PO BOX 1132
PAGO PAGO AS 96799

Officer/Director/Trustee Two

MICHAEL MCDONALD
EXEC VP
PO BOX 7513
PAGO PAGO AS 96799

Officer/Director/Trustee Three

JOSEPHINE MALEPEAI-LEALASOLA
SEC/TREAS
PO BOX
PAGO PAGO AS 96799

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2014
Organization Incorporation State AS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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