FORM 1023-EZ for UNITED SAMOAN ORGANIZATION OF WASHINGTONE

Field Data
EIN 81-4976002
Case Number EO-2018016-000521
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED SAMOAN ORGANIZATION OF WASHINGTONE
Organization’s Mailing Address 11629 BEACON AVE S
City SEATTLE
State WA
ZIP 98178
Accounting period End 12
Primary contact name CHARLES V ALAILIMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FELISE FAUTANU
PRESIDENT/DIRECTOR
24505 9TH AVE
DES MOINES WA 98198

Officer/Director/Trustee Two

SAUFOI PAPATU
VICE PRESIDENT /DIRECTOR
19019 INTERNATIONAL BLVD APT 311
SEA-TAC WA 98188

Officer/Director/Trustee Three

MARLINE FAUTANU
SECRETARY/DIRECTOR
24505 9TH AVE
DES MOINES WA 98198

Officer/Director/Trustee Four

MAYZIE TAUAI-SARDEA
TREASURER/DIRECTOR
7915 28TH AVE SW
SEATTLE WA 98126

Officer/Director/Trustee Five

PINI VILIAMU MANUSAVAII
PUBLIC RELATIONS/DIRECTOR/REG AGENT
28411 43RD AVE S
KENT WA 98032

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/10
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 PINI VILIAMU MANUSAVAII
Signature Title PUBLIC RELATIONS/DIRECTOR/REG AGENT
Signature Date 1/13/18

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