FORM 1023-EZ for US INTERNATIONAL 14 ASSOCIATION

Field Data
EIN 82-5276667
Case Number EO-2021085-000466
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name US INTERNATIONAL 14 ASSOCIATION
Organization’s Mailing Address 975 GAGE DR
City SAN DIEGO
State CA
ZIP 92106
Accounting period End 12
Primary contact name JOHN CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL GALVEZ
PRESIDENT
31 MONTGOMERY
MISSION VIEJO CA 92692

Officer/Director/Trustee Two

JOHN CLARK
TREASURER
421 WESTERN DRIVE
POINT RICHMOND CA 94801

Officer/Director/Trustee Three

TERENCE GLEESON
PRESIDENT (OUTGOING)
975 GAGE DR
SAN DIEGO CA 92106

Officer/Director/Trustee Four

BRAD RUETENIK
GOVERNOR
561 NANTUCKET CT
ENCINATAS CA 92024

Officer/Director/Trustee Five

JAMES CLARKSON
GOVERNOR
1942 CHANNING WAY
BERKELEY CA 94704

Organization’s website I14USA.ORG
Organization’s email USI14ASSOC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2018
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN CLARK
Signature Title TREASURER
Signature Date 2/4/2021

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