FORM 1023-EZ for CLUB CHARLIES LP

Field Data
EIN 82-4947753
Case Number EO-2018107-000764
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLUB CHARLIES LP
Organization’s Mailing Address 24 HILIARITY STREET
City PROVIDENCE
State RI
ZIP 2909
Accounting period End 12
Primary contact name CHARLES BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES BROWN
PRESIDENT
24 HILARITY STREET
PROVIDENCE RI 2909

Officer/Director/Trustee Two

YULISSA BROWN
VICE PRESIDENT
24 HILARITY STREET
PROVIDENCE RI 2909

Officer/Director/Trustee Three

YARITZA QUEZADA
SECRETARY
24 HILARITY STREET
PROVIDENCE RI 2909

Officer/Director/Trustee Four

SIDNEY SCOTT
DIRECTOR
24 ADELIADE AVE
PROVIDENCE RI 2905

Officer/Director/Trustee Five

SHAWN MOORE
TREASURER
70 NATHANIEL STREET
PAWTUCKET RI 2860

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/18
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 CHARLES BROWN
Signature Title PRESIDENT
Signature Date 3/29/18

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