FORM 1023-EZ for HILL STREET COUNTRY CLUB

Field Data
EIN 85-1545201
Case Number EO-2020216-000653
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HILL STREET COUNTRY CLUB
Organization’s Mailing Address 530 SOUTH COAST HWY
City OCEANSIDE
State CA
ZIP 92054
Accounting period End 12
Primary contact name DINAH POELLNITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DINAH POELLNITZ
CEO
30369 SIERRA MADRE DRIVE
TEMECULA CA 92591

Officer/Director/Trustee Two

MARGARET HERNANDEZ
CFO
2231 HILLDALE STREET
OCEANSIDE CA 92054

Officer/Director/Trustee Three

JAMES GUERRO
SECRETARY
408 FOWLES
OCEANSIDE CA 92054

Organization’s website
Organization’s email DINAH@THEHILLSTREETCOUNTRYCLUB.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DINAH POELLNITZ
Signature Title CEO
Signature Date 7/31/2020

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