FORM 1023-EZ for CENTRAL COAST VENOM INC

Field Data
EIN 83-0523912
Case Number EO-2018136-000516
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL COAST VENOM INC
Organization’s Mailing Address 214 SILER LANE
City SANTA MARIA
State CA
ZIP 93455-3345
Accounting period End 12
Primary contact name SELINA HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON RAMIREZ
PRESIDENT
828 RIMES COURT
SANTA MARIA CA 93455-3345

Officer/Director/Trustee Two

JUSTINA MARTINEZ
TRESURER
266 FLEMING LANE
ORCUTT CA 93455-3345

Officer/Director/Trustee Three

SELINA HERNANDEZ
VICE PRESIDENT
214 SILER LANE
ORCUTT CA 93455-3345

Officer/Director/Trustee Four

CLARA RAMIREZ
EXECUTIVE BOARD MEMBER
828 RIMES COURT
SANTA MARIA CA 93455-3345

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SELINA HERNANDEZ
Signature Title VICE PRESIDENT
Signature Date 5/14/18

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