FORM 1023-EZ for DEAD SLEDS CAR CLUB

Field Data
EIN 61-1828637
Case Number EO-2017235-000400
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEAD SLEDS CAR CLUB
Organization’s Mailing Address 31309 MONTGOMERY AVE
City NUEVO
State CA
ZIP 92567
Accounting period End 12
Primary contact name JOHNNY DE LA ROSA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CESAR LERMA
CEO
5701 JENSEN RANCH RD
RIVERSIDE CA 92509

Officer/Director/Trustee Two

ROBERTO ANAYA
SECRETARY
1571
ONTARIO CA 91764

Officer/Director/Trustee Three

JOHNNY DE LA ROSA
CFO
31309 MONTGOMERY AVE
NUEVO CA 92567

Organization’s website
Organization’s email DEADSLEDS21@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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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