FORM 1023-EZ for CHALLENGED VETERANS ATHLETIC TRAINING INC

Field Data
EIN 84-3622200
Case Number EO-2019319-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHALLENGED VETERANS ATHLETIC TRAINING INC
Organization’s Mailing Address 29409 LAKE HILLS DR
City MENIFEE
State CA
ZIP 92585
Accounting period End 12
Primary contact name M TEO BEAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

M TEO BEAM
PRESIDENT
29409 LAKE HILLS DR
MENIFEE CA 92585-3163

Officer/Director/Trustee Two

SHERRI BEAM
TREASURER
29409 LAKE HILLS DR
MENIFEE CA 92585-3163

Officer/Director/Trustee Three

GARY ODDI
VICE PRESIDENT
31311 CANTERBURY CT
TEMECULA CA 92951

Officer/Director/Trustee Four

CYNTHIA ROBLES
SECRETARY
43668 ORTONA ST
TEMECULA CA 92592

Officer/Director/Trustee Five

ERICA PULLEN
DIRECTOR
PO BOX 3699
TUBA CITY AZ 86045

Organization’s website
Organization’s email DRTBEAM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/19
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 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 M TEO BEAM
Signature Title PRESIDENT
Signature Date 11/13/19

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