FORM 1023-EZ for VILLA PARK HIGH SCHOOL WOMENS SOCCER BOOSTER CLUB

Field Data
EIN 20-4424848
Case Number EO-2016322-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VILLA PARK HIGH SCHOOL WOMENS SOCCER BOOSTER CLUB
Organization’s Mailing Address 18042 TAFT AVE
City VILLA PARK
State CA
ZIP 92861-4148
Accounting period End 12
Primary contact name DALTON R SWEANEY CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM POLSON
PRESIDENT
2520 N SHADOW RIDGE LANE
ORANGE CA 92867

Officer/Director/Trustee Two

MIREYA SERRANO
TREASURER
562 S DUNE ST
ANAHEIM CA 92806

Officer/Director/Trustee Three

MONICA CABALLOS
SECRETARY
1471 N SHAFFER ST
ORANGE CA 92867

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2007
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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