FORM 1023-EZ for LADY KNIGHTS SOFTBALL CLUB INC

Field Data
EIN 81-1269250
Case Number EO-2016084-000363
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LADY KNIGHTS SOFTBALL CLUB INC
Organization’s Mailing Address 45-265 WILLIAM HENRY RD APT G-15
City KANEOHE
State HI
ZIP 96744-5030
Accounting period End 12
Primary contact name JAYLENE BERINOBIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAYLENE BERINOBIS
PRESIDENT
45-265 WILLIAM HENRY RD APT G15
KANEOHE HI 96744-5030

Officer/Director/Trustee Two

JASON BERINOBIS
VICE PRESIDENT
45-245 B WILLIAM HENRY RD
KANEOHE HI 96744-5030

Officer/Director/Trustee Three

TAMI ADAMS
SECRETARY
47-734 KELU ST NO 6
KANEOHE HI 96744-5030

Officer/Director/Trustee Four

KUULEI PADEKEN
TREASURER
PO BOX 730
KANEOHE HI 96744-5030

Organization’s website JKBERINOBIS10@GMAIL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2016
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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
Signature Title
Signature Date

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