FORM 1023-EZ for HAWAII SOCCER ACADEMY DBA LAULIMA SOCCER CLUB

Field Data
EIN 47-1115060
Case Number EO-2015306-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAWAII SOCCER ACADEMY DBA LAULIMA SOCCER CLUB
Organization’s Mailing Address PO BOX 2297
City EWA BEACH
State HI
ZIP 96706-0297
Accounting period End 6
Primary contact name MICHELLE SIMAFRANCA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROSS SIMAFRANCA
PRESIDENT
91-1112 WAIKAPOO STREET
EWA BEACH HI 96706-0297

Officer/Director/Trustee Two

DUANE TOYOFUKU
VICE PRESIDENT
99-110 HOLO PLACE
AIEA HI 96701-3901

Officer/Director/Trustee Three

EMI KIYOI
VICE PRESIDENT
95-1064 MAHEA STREET
MILILANI HI 96789-6594

Officer/Director/Trustee Four

MICHELLE SIMAFRANCA
TREASURER
91-1112 WAIKAPOO STREET
EWA BEACH HI 96706-0297

Officer/Director/Trustee Five

SHERRI TOMITA
SECRETARY
66 KILANI AVENUE
WAHIAWA HI 96786-1559

Organization’s website N/A
Organization’s email LAULIMASC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2014
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: No
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 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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