FORM 1023-EZ for KERMAN QUARTERBACK CLUB

Field Data
EIN 57-1237509
Case Number EO-2015153-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KERMAN QUARTERBACK CLUB
Organization’s Mailing Address 205 SOUTH FIRST STREET
City KERMAN
State CA
ZIP 93630
Accounting period End 12
Primary contact name EFRAIN GUIZAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EFRAIN GUIZAR
PRESIDENT
545 S GOLDENROD AVE
KERMAN CA 93630

Officer/Director/Trustee Two

BRAD BEENE
VICE PRESIDENT
PO BOX 155
TRANQUILLITY CA 93668

Officer/Director/Trustee Three

JOHN CHAMBERS
TREASURER
15838 WEST SUNSET AVE
KERMAN CA 93630

Officer/Director/Trustee Four

JENNIFER SAGARIBALLA
SECRETARY
15250 WEST STANISLAUS AVE
KERMAN CA 93630

Officer/Director/Trustee Five

PHIL SUSON SUSON
YOUTH LEAGUE REPRESENTATIVE
29584 SEMINOLE ROAD
TOLLHOUSE CA 93667

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2014
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: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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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