FORM 1023-EZ for GRASS VALLEY SQUAD CLUB

Field Data
EIN 47-4955152
Case Number EO-2015338-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRASS VALLEY SQUAD CLUB
Organization’s Mailing Address PO BOX 176
City GRASS VALLEY
State CA
ZIP 95945-0176
Accounting period End 12
Primary contact name JASON BICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON BICE
SECRETARY/TREASURER/DIRECTOR
PO BOX 176
GRASS VALLEY CA 95945-0176

Officer/Director/Trustee Two

GREGORY TASSONE
PRESIDENT/DIRECTOR
122 W EMPIRE ST
GRASS VALLEY CA 95945

Officer/Director/Trustee Three

MICHAEL STEELE
VICE PRESIDENT/DIRECTOR
15345 STINSON DR
GRASS VALLEY CA 95949

Organization’s website
Organization’s email 230SQUADCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
Organization’s purpose Charitable: Yes
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 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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