FORM 1023-EZ for FRESNO STATE VITICULTURE CLUB

Field Data
EIN 47-1635556
Case Number EO-2014356-000343
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRESNO STATE VITICULTURE CLUB
Organization’s Mailing Address 2360 E BARSTOW AVE MS VR 89
City FRESNO
State CA
ZIP 93740-8003
Accounting period End 6
Primary contact name KELLI WILLIAMSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DERICK WEBB
PRESIDENT
2663 E LOS ALTOS AVE
FRESNO CA 93710

Officer/Director/Trustee Two

KELLI WILLIAMSON
VICE PRESIDENT
2263 ASHLAN AVE
CLOVIS CA 93611

Officer/Director/Trustee Three

JACQUELINE CHENOWETH
SECRETARY
12601 GREEN VALLEY ROAD
SEBASTOPOL CA 95472

Officer/Director/Trustee Four

SADIE CARDIFF
TREASURE
8680 N GLENN AVE
FRESNO CA 93711

Officer/Director/Trustee Five

HORACIO LOPEZ-SEGURA
SARGENT AT ARMS
1363 EL BONITA CT
ST. HELENA CA 94574

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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
Signature Title
Signature Date

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