FORM 1023-EZ for HAWAII SWIMMING CLUB - KOAMALU AQUATICS

Field Data
EIN 46-3473690
Case Number EO-2015089-000375
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAWAII SWIMMING CLUB - KOAMALU AQUATICS
Organization’s Mailing Address HCR 1 BOX 5057
City KEAAU
State HI
ZIP 96749
Accounting period End 7
Primary contact name VALERIE J GRAB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARLA SPIDELL
PRESIDENT
HCR 1 BOX 5057
KEAAU HI 96749

Officer/Director/Trustee Two

SHARON NELSON
VICE PRESIDENT
PO BOX 1626
KEAAU HI 96749

Officer/Director/Trustee Three

JILL BUGADO
REGISTRAR
142 HOALOHA STREET
HILO HI 96720

Officer/Director/Trustee Four

VALERIE GRAB
SECRETARY
472 KEHAULANI STREET
HILO HI 96720

Officer/Director/Trustee Five

CHRYSTAL ETRATA
TREASURER
1521 KILAHA STREET
HILO HI 96720

Organization’s website HTTPS://WWW.TEAMUNIFY.COM/ABOUT.JSP?_TABID_=86553TEAM=HIHSCKA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/2013
Organization Incorporation State HI
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: Yes
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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