FORM 1023-EZ for ORGANIZACION DEPORTIVA BSLCA

Field Data
EIN 81-0999494
Case Number EO-2018023-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ORGANIZACION DEPORTIVA BSLCA
Organization’s Mailing Address 3552 WHITESIDE ST
City LOS ANGELES
State CA
ZIP 90063
Accounting period End 12
Primary contact name ROMAN HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDIBERTO CEBALLOS
SECRETARY
6015 VINEVALE AVE
MAYWOOD CA 90270

Officer/Director/Trustee Two

OMAR ABOGADOS
TREASURER
3552 WHITESIDE ST
LOS ANGELES CA 90063

Officer/Director/Trustee Three

ROMAN HERNANDEZ
PRESIDENT
35532 WHITESIDE ST
LOS ANGELES CA 90063

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/16
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 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 ROMAN HERNANDEZ
Signature Title PRESIDENT
Signature Date 1/21/18

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