FORM 1023-EZ for SHAFTER UNITED FC

Field Data
EIN 81-0893939
Case Number EO-2016239-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHAFTER UNITED FC
Organization’s Mailing Address 629 HITCHCOCK AV
City SHAFTER
State CA
ZIP 93263
Accounting period End 12
Primary contact name MARIO BOLANOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIO BOLANOS
CLUB DIRECTOR/TREASURY
629 HITCHCOCK AV
SHAFTER CA 93263

Officer/Director/Trustee Two

PEDRO AVILA
CLUB MANAGER/COACH
524 MARK AV
SHAFTER CA 93263

Officer/Director/Trustee Three

ERNESTO GUERRERO
CLUB COACH
700 SOUTH SHAFTER AV SPACE 62
SHAFTER CA 93263

Officer/Director/Trustee Four

ALBERT GOMEZ
CLUB COACH
907 JEFFRIES ST
SHAFTER CA 93263

Organization’s website
Organization’s email SHAFTERUNITEDFC@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2015
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: 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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