FORM 1023-EZ for MAUI SWIM CLUB INC

Field Data
EIN 47-3015824
Case Number EO-2015096-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAUI SWIM CLUB INC
Organization’s Mailing Address 330506
City KAHULUI
State HI
ZIP 96733
Accounting period End 12
Primary contact name LAURIE LOPES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS MATSUMOTO
PRESIDENT
755 ANALIO ST
WAILUKU HI 96733

Officer/Director/Trustee Two

LAURIE LOPES
TREASURER
2247 KAUPAKALUA RD
HAIKU HI 96708

Officer/Director/Trustee Three

MARGO DAKSLA
SECRETARY
12 UHALOA ST
WAILUKU HI 96793

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2015
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: Yes
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 Yes
One Third Support Gifts No
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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