FORM 1023-EZ for CALIFORNIA COMMUNITY COLLEGE ATHLETIC TRAINERS ASSOCIATION INC

Field Data
EIN 84-4456579
Case Number EO-2020072-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CALIFORNIA COMMUNITY COLLEGE ATHLETIC TRAINERS ASSOCIATION INC
Organization’s Mailing Address 26455 ROCKWELL CANYON ROAD
City SANTA CLARITA
State CA
ZIP 91355
Accounting period End 6
Primary contact name CHAD PETERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD PETERS
PRESIDENT
26455 ROCKWELL CANYON ROAD
SANTA CLARITA CA 91355

Officer/Director/Trustee Two

BRANDON JOHNSON
VICE PRESIDENT
26455 ROCKWELL CANYON ROAD
SANTA CLARITA CA 91355

Officer/Director/Trustee Three

MARIA CASTRO
VICE PRESIDENT
26455 ROCKWELL CANYON ROAD
SANTA CLARITA CA 91355

Officer/Director/Trustee Four

DENNIS GOEBEL
TREASURER
26455 ROCKWELL CANYON ROAD
SANTA CLARITA CA 91355

Officer/Director/Trustee Five

MEREDITH DILLON
SECRETARY
26455 ROCKWELL CANYON ROAD
SANTA CLARITA CA 91355

Organization’s website WWW.CCCATA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 CHAD PETERS
Signature Title PRESIDENT
Signature Date 3/10/2020

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