FORM 1023-EZ for HAWAII ANIMALS SOCCER CLUB

Field Data
EIN 84-2593041
Case Number EO-2019340-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAWAII ANIMALS SOCCER CLUB
Organization’s Mailing Address PO BOX 622
City PEARL CITY
State HI
ZIP 96786
Accounting period End 12
Primary contact name CHANNELLE MT FETTERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANNELLE FETTERS
PRESIDENT/SECRETARY
260 PAKAUWILI DRIVE
WAHIAWA HI 96786

Officer/Director/Trustee Two

ROBERT OLMOS
VICE PRESIDENT
260 PAKAUWILI DRIVE
WAHIAWA HI 96786

Officer/Director/Trustee Three

CHRISTIE AGENA
TREASURER
94-261 AWIWI PLACE
MILILANI HI 96789

Organization’s website HTTPS://WWW.HAWAIIANIMALSSOCCERCLUB.COM/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2019
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHANNELLE FETTERS
Signature Title PRESIDENT/SECRETARY
Signature Date 12/3/2019

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