FORM 1023-EZ for TEHACHAPI MOUNTAIN ROLLER HOCKEY

Field Data
EIN 47-5037652
Case Number EO-2019273-000501
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEHACHAPI MOUNTAIN ROLLER HOCKEY
Organization’s Mailing Address PO BOX 1891
City TEHACHAPI
State CA
ZIP 93581
Accounting period End 8
Primary contact name JOHN BILOTTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAYLA BOOKER
PRESIDENT
28020 PREAKNESS DR
TEHACHAPI CA 93561

Officer/Director/Trustee Two

JOHN BILOTTA
TREASURER
25950 PLATEAU CT
TEHACHAPI CA 93561

Officer/Director/Trustee Three

LISA FITCH
SECRETARY
23121 HOMESTEAD WAY
TEHACHAPI CA 93561

Organization’s website TEHACHAPIMOUNTAINROLLERHOCKEY.YOLASITE.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/15
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: No
Religious: No
Educational: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN BILOTTA
Signature Title TREASURER
Signature Date 9/27/19

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