FORM 1023-EZ for SOUTH HILLS HIGH SCHOOL 5TH QUARTERCLUB INC

Field Data
EIN 46-4845841
Case Number EO-2017125-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH HILLS HIGH SCHOOL 5TH QUARTERCLUB INC
Organization’s Mailing Address 645 S BARRANCA ST
City WEST COVINA
State CA
ZIP 91791
Accounting period End 12
Primary contact name JULIANNE MEISEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIANNE MEISEN
PRESIDENT
334 E ITALIA ST
COVINA CA 91723

Officer/Director/Trustee Two

RAY BROWN
VICE PRESIDENT
602 E PUENTE ST
COVINA CA 91723

Officer/Director/Trustee Three

EDIE NAULS
TREASURER
3627 1/2 TEMPLE CITY BLVD
ROSEMEAD CA 91770

Officer/Director/Trustee Four

VALERIE GONZALES
SECRETARY
714 E HURST ST
COVINA CA 91722

Officer/Director/Trustee Five

MATT BECHTEL
HEAD FOOTBALL COACH
1696 N EUCLID
UPLAND CA 91784

Organization’s website SOUTHHILLSFOOTBALL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
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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