FORM 1023-EZ for CLOVIS AREA MODELERS INCORPORATED

Field Data
EIN 83-2826996
Case Number EO-2021259-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLOVIS AREA MODELERS INCORPORATED
Organization’s Mailing Address 3318 BEVERLY AVE
City CLOVIS
State CA
ZIP 93619
Accounting period End 12
Primary contact name ERIK LACOUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIK LACOUR
PRESIDENT
3318 BEVERLY AVE
CLOVIS CA 93619-5102

Officer/Director/Trustee Two

DAVID FUSINATO
VICE PRESIDENT
6988 E CORNELL AVE
FRESNO CA 93727-1444

Organization’s website WWW.CLOVISRC.CLUB
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/2018
Organization Incorporation State CA
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration No
Signature Name ERIK LACOUR
Signature Title PRESIDENT
Signature Date 9/14/2021
EIN 83-2826996
Case Number EO-2019029-000826
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLOVIS AREA MODELERS INC
Organization’s Mailing Address 4441 W HERNDON AVENUE SUITE 17
City FRESNO
State CA
ZIP 93722
Accounting period End 12
Primary contact name ERIK LACOUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIK LACOUR
PRESIDENT, DIRECTOR
3318 BEVERLY AVENUE
CLOVIS CA 93619

Officer/Director/Trustee Two

RICHARD KERRIGAN
VICE-PRESIDENT, DIRECTOR
39792 WISHING WELL DRIVE
BASS LAKE CA 93604

Officer/Director/Trustee Three

GEORGE SILVA
CHIEF FINANCIAL OFFICER, DIRECTOR
2521 POE AVENUE
CLOVIS CA 93611

Officer/Director/Trustee Four

DAVE FUSINATO
SECRETARY, DIRECTOR
6988 E CORNELL AVENUE
FRESNO CA 93727

Officer/Director/Trustee Five

SCOTT LAMPKIN
DIRECTOR
35 WILDERNESS DRIVE
SANGER CA 93657

Organization’s website HTTP://CLOVISRC.CLUB/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERIK LACOUR
Signature Title PRESIDENT, DIRECTOR
Signature Date 12/18/18

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