FORM 1023-EZ for CLOVIS-FRESNO YS MENS CLUB

Field Data
EIN 77-0367663
Case Number EO-2016306-000105
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLOVIS-FRESNO YS MENS CLUB
Organization’s Mailing Address 4722 E BROWN
City FRESNO
State CA
ZIP 93703
Accounting period End 6
Primary contact name ROD KELENBARGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN EBERLY
PRESIDENT
1620 MAGNOLIA
CLOVIS CA 93611-5963

Officer/Director/Trustee Two

BILL STOCK
VICE PRESIDENT
3026 E ELLERY
FRESNO CA 93710

Officer/Director/Trustee Three

DALE E CLAES
SECRETARY
1037 W FAIRMONT
FRESNO CA 93705-0408

Officer/Director/Trustee Four

ROD KELLENBERGER
TREASURER
4722 E BROWN
FRESNO CA 93703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/1959
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P27 - Young Men's or Women's Associations (YMCA, YWCA, YWHA, YMHA)
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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