FORM 1023-EZ for GARDEN ISLAND ARCHERY AND SHOOTINGRANGE

Field Data
EIN 83-0970387
Case Number EO-2018190-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GARDEN ISLAND ARCHERY AND SHOOTINGRANGE
Organization’s Mailing Address 3-3215 KUHIO HIGHWAY NO 6
City LIHUE
State HI
ZIP 96766
Accounting period End 12
Primary contact name DAVID ROVINSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WALTER PARESA
PRESIDENT/DIRECTOR
3-3215 KUHIO HIGHWAY NO 6
LIHUE HI 96766

Officer/Director/Trustee Two

DAVID ROVINSKY
VICE PRESIDENT/DIRECTOR
1750 HULU ROAD UNIT G
KAPAA HI 96746

Officer/Director/Trustee Three

VICTOR HERESA JR
TREASURER/DIRECTOR
129 POKUKALA STREET
KAPAA HI 96746

Officer/Director/Trustee Four

LEROY LEOPOLDO TANGALIN JR
SECRETARY/DIRECTOR
1330A PUUOPAE ROAD
KAPAA HI 96746

Officer/Director/Trustee Five

DALLEN L JOHNS
DIRECTOR
3-2600 KAUMUALII HWY 1300 PMB 447
LIHUE HI 96766

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/18
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 DAVID ROVINSKY
Signature Title VICE PRESIDENT/DIRECTOR
Signature Date 7/5/18
EIN 83-0970387
Case Number EO-2018190-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GARDEN ISLAND ARCHERY AND SHOOTING RANGE
Organization’s Mailing Address 3-3215 KUHIO HIGHWAY NO 6
City LIHUE
State HI
ZIP 96766
Accounting period End 12
Primary contact name DAVID ROVINSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WALTER PARESA
PRESIDENT/DIRECTOR
3-3215 KUHIO HIGHWAY NO 6
LIHUE HI 96766

Officer/Director/Trustee Two

DAVID ROVINSKY
VICE PRESIDENT/DIRECTOR
1750 HULU ROAD UNIT G
KAPAA HI 96746

Officer/Director/Trustee Three

VICTOR HERESA JR
TREASURER/DIRECTOR
129 POKUKALA STREET
KAPAA HI 96746

Officer/Director/Trustee Four

LEROY LEOPOLDO TANGALIN JR
SECRETARY/DIRECTOR
1330A PUUOPAE ROAD
KAPAA HI 96746

Officer/Director/Trustee Five

DALLEN L JOHNS
DIRECTOR
3-2600 KAUMUALII HWY 1300 PMB 447
LIHUE HI 96766

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/18
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 DAVID ROVINSKY
Signature Title VICE PRESIDENT/DIRECTOR
Signature Date 7/5/18

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