FORM 1023-EZ for PATTERSON FUTBOL CLUB

Field Data
EIN 82-2446583
Case Number EO-2017261-000064
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PATTERSON FUTBOL CLUB
Organization’s Mailing Address 628 ROADRUNNER DR
City PATTERSON
State CA
ZIP 95363
Accounting period End 12
Primary contact name MAGALY GENTRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE RUBIO
PRESIDENT
628 ROADRUNNER DR
PATTERSON CA 95363

Officer/Director/Trustee Two

MERCEDES CARTER
SECRETARY
556 MILLWOOD DR
PATTERSON CA 95363

Officer/Director/Trustee Three

MAGALY GENTRY
TREASURER
601 OSPREY DR
PATTERSON CA 95363

Officer/Director/Trustee Four

ROB DEVOLL
VICE PRESIDENT
1401 OASIS LN
PATTERSON CA 95363

Officer/Director/Trustee Five

KIERAN CARTER
VICE PRESIDENT
556 MILLWOOD DR
PATTERSON CA 95363

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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