FORM 1023-EZ for SURGE VOLLEYBALL CLUB

Field Data
EIN 83-2457708
Case Number EO-2019091-000486
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURGE VOLLEYBALL CLUB
Organization’s Mailing Address 1015 MADRID STREET
City SOLEDAD
State CA
ZIP 93960
Accounting period End 12
Primary contact name VANESSA VIRGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VANESSA VIRGEN
PRESIDENT
1015 MADRID STREET
SOLEDAD CA 93960

Officer/Director/Trustee Two

ELIZABETH GONZALEZ
VICE-PRESIDENT
613 SAN LUIS REY
SOLEDAD CA 93960

Officer/Director/Trustee Three

NORMA VIRGEN
SECRETARY/TREASURER
1015 MADRID STREET
SOLEDAD CA 93960

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VANESSA VIRGEN
Signature Title PRESIDENT
Signature Date 3/27/19

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