FORM 1023-EZ for CABRILLO WATER POLO

Field Data
EIN 61-1765937
Case Number EO-2016336-000424
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CABRILLO WATER POLO
Organization’s Mailing Address 465 COLONIAL PLACE
City NIPOMO
State CA
ZIP 93444-5703
Accounting period End 12
Primary contact name RYAN HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL PETERSON
PRESIDENT
165 TEJAS PLACE
NIPOMO CA 93444-9116

Officer/Director/Trustee Two

ANNA WONG
VICE-PRESIDENT
490 COLONIAL PLACE
NIPOMO CA 93444-5701

Officer/Director/Trustee Three

RYAN HILL
SECRETARY-TREASURER
465 COLONIAL PLACE
NIPOMO CA 93444-5703

Organization’s website WWW.CABRILLOWATERPOLO.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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