FORM 1023-EZ for WCMS EXPLORERS CLUB

Field Data
EIN 46-4804388
Case Number EO-2014345-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WCMS EXPLORERS CLUB
Organization’s Mailing Address 9555 HUAKAI STREET
City WAIMEA
State HI
ZIP 96741-9555
Accounting period End 12
Primary contact name SHANNON BURKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANNON BURKMAN
PRESIDENT
3510A WAHA ROAD
KALAHEO HI 96741

Officer/Director/Trustee Two

ANNE HEDGES
VICE-PRESIDENT
8325 MAHIKO PLACE
KEKAHA HI 96752

Officer/Director/Trustee Three

MELANIE CIERRAS
TREASURER
2-2541 KAUMUALII HWY
KALAHEO HI 96741

Officer/Director/Trustee Four

MATTHEW SNOWDEN
DIRECTOR
3063C LAUOHO ROAD
KALAHEO HI 96741

Officer/Director/Trustee Five

PENNY SHIMOMURA
DIRECTOR
4360 LEA LANE
HANAPEPE HI 96716

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2014
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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