FORM 1023-EZ for MISSION PEAK SPORT CLUB

Field Data
EIN 81-4852258
Case Number EO-2017060-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSION PEAK SPORT CLUB
Organization’s Mailing Address 1122 BEDFORD ST
City FREMONT
State CA
ZIP 94539
Accounting period End 12
Primary contact name BAOQUAN XU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BAOQUAN XU
PRESIDENT, DIRECTOR
1122 BEDFORD ST
FREMONT CA 94539

Officer/Director/Trustee Two

YONGGUI HAN
SECRETARY, DIRECTOR
41056 PAJARO DR
FREMONT CA 94539

Officer/Director/Trustee Three

DAVID ZHANG
TREASURER, DIRECTOR
533 EMERSON ST
FREMONT CA 94539

Officer/Director/Trustee Four

HELEN LIN
DIRECTOR
345 CASTRO LN
FREMONT CA 94539

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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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