FORM 1023-EZ for TULEBURGH CHAPTER NO 69 E CLAMPUS VITUS INC

Field Data
EIN 46-1175971
Case Number EO-2016362-000331
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TULEBURGH CHAPTER NO 69 E CLAMPUS VITUS INC
Organization’s Mailing Address PO BOX 656
City STOCKTON
State CA
ZIP 95201-0656
Accounting period End 12
Primary contact name DAVE HAMILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERNON FIFE
PRESIDENT
1833 LOBERO LN
MODESTO CA 95355-2521

Officer/Director/Trustee Two

AARON NELSON
VICE PRESIDENT
8431 LOIRE CT
STOCKTON CA 95209-2246

Officer/Director/Trustee Three

DAVE HAMILTON
TREASURE
13355 E HIGHWAY 88 - 1600
LOCKEFORD CA 95237-1600

Officer/Director/Trustee Four

DARIN CLAUSING
RECORDER
1740 W ACACIA ST
STOCKTON CA 95203-2004

Officer/Director/Trustee Five

GARY BRITT
PAST PRESIDENT
17960 LUCKY STRIKE TRAIL
SONORA CA 95370-8977

Organization’s website WWW.ECV69.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/1988
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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