FORM 1023-EZ for PALM DESERT LA QUINTA YOUTH FOOTBALL ORGANIZATION INC

Field Data
EIN 33-0703093
Case Number EO-2015280-000313
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALM DESERT LA QUINTA YOUTH FOOTBALL ORGANIZATION INC
Organization’s Mailing Address PO BOX 6198
City LA QUINTA
State CA
ZIP 92248
Accounting period End 12
Primary contact name KIMBERLEE SALAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHAUN CLARK
PRESIDENT
84573 ANCHORA WAY
INDIO CA 92203

Officer/Director/Trustee Two

MATT MARTELLO
VICE PRESIDENT
73605 BROKEN ARROW TRAIL
PALM DESERT CA 92260

Officer/Director/Trustee Three

MICHELE BRANCONIER
TREASURER
45005 DESERT HILLS CT
LA QUINTA CA 92253

Officer/Director/Trustee Four

GLENN MILLER
COMMISSIONER
53120 AVENIDA MENDOZA
LA QUINTA CA 92253

Officer/Director/Trustee Five

KRISTEN ALVEREZ
CHAPTER AD
78745 ROCKBERRY CT
LA QUINTA CA 92253

Organization’s website WWW.PDLQ.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/1996
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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