FORM 1023-EZ for NORCAL VELOCITY

Field Data
EIN 46-5269205
Case Number EO-2014317-000081
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORCAL VELOCITY
Organization’s Mailing Address 116 CLEAR WATER COURT
City ROSEVILLE
State CA
ZIP 95678-9914
Accounting period End 12
Primary contact name TAMMY BLAZEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM WHITSETT
CHIEF EXECUTIVE OFFICER
8515 ELKGROVE-FLORIN RAOD APT 118
ELK GROVE CA 95624

Officer/Director/Trustee Two

TAMMY BLAZEK
CHIEF FINANCIAL OFFICER
116 CLEAR WATER COURT
ROSEVILLE CA 95678

Officer/Director/Trustee Three

DOUG MCCARLEY
CHAIRMAN OF THE BOARD / PRESIDENT
1309 SAN AUGUSTINE WAY
SACRAMENTO CA 95831

Officer/Director/Trustee Four

THELMA MCCARLEY
CHIEF OPERATING OFFICER
1309 SAN AUGUSTINE WAY
SACRAMENTO CA 95831

Officer/Director/Trustee Five

SCOTT REID
VICE PRESIDENT
7837 GARNER COURT
SACRAMENTO CA 95829

Organization’s website WWW.NORCALVELOCITY.ORG
Organization’s email TBLAZEKNCVELOCITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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