FORM 1023-EZ for CONEJO VALLEY TRIATHLON TEAM

Field Data
EIN 83-2041622
Case Number EO-2019037-000388
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONEJO VALLEY TRIATHLON TEAM
Organization’s Mailing Address 1011 THISTLEGATE RD
City OAK PARK
State CA
ZIP 91377-3921
Accounting period End 12
Primary contact name PATRICIA JENNIFER CHEBI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA JENNIFER CHEBI
PRESIDENT
1011 THISTLEGATE ROAD
OAK PARK CA 91377-3921

Officer/Director/Trustee Two

ERIC PAUL CHEBI
SECRETARY
1011 THISTLEGATE RD
OAK PARK CA 91377-3921

Officer/Director/Trustee Three

PATTI EVANOFF
TREASURER
15812 RACE TRACK ROAD
ODESSA FL 33556-2926

Organization’s website HTTPS://CVTRIATHLONTEAM.COM
Organization’s email CVTRIATHLONTEAM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 PATRICIA JENNIFER CHEBI
Signature Title PRESIDENT
Signature Date 1/1/19

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