FORM 1023-EZ for SAN DIEGO LAW ENFORCEMENT HOCKEY CLUB

Field Data
EIN 81-3136311
Case Number EO-2016201-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAN DIEGO LAW ENFORCEMENT HOCKEY CLUB
Organization’s Mailing Address 28 CENTER STREET
City CHULA VISTA
State CA
ZIP 91910
Accounting period End 12
Primary contact name DAVID GARBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW LONGREN
PRESIDENT
11731 WALNUT ROAD
LAKESIDE CA 92040

Officer/Director/Trustee Two

PETER MYERS
VICE PRESIDENT
550 VILLAGE DRIVE E
CARLSBAD CA 92008

Officer/Director/Trustee Three

DAVID GARBER
SECRETARY
28 CENTER STREET
CHULA VISTA CA 91910

Officer/Director/Trustee Four

JUSTIN MAYER
TREASURER
510 ALMOND ROAD
SAN MARCOS CA 92078

Officer/Director/Trustee Five

MATTHEW ANDRADE
MEMBER AT LARGE
840 17TH STREET
SAN DIEGO CA 92101

Organization’s website
Organization’s email SDLESPARTANS.HOCKEY@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2014
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: 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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