FORM 1023-EZ for 1 FC ALTADENA

Field Data
EIN 83-2503656
Case Number EO-2018348-000102
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 1 FC ALTADENA
Organization’s Mailing Address 2715 SCRIPPS PLACE
City ALTADENA
State CA
ZIP 91001-5151
Accounting period End 12
Primary contact name KRISTIN PETHERBRIDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTIN PETHERBRIDGE
DIRECTOR AND PRESIDENT
2715 SCRIPPS PLACE
ALTADENA CA 91001-5151

Officer/Director/Trustee Two

LEE PETHERBRIDGE
DIRECTOR, CFO -AND SECRETARY
2715 SCRIPPS PLACE
ALTADENA CA 91001-5151

Officer/Director/Trustee Three

OLIVER PETHERBRIDGE
DIRECTOR
2715 SCRIPPS PLACE
ALTADENA CA 91001-5151

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 Yes
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 KRISTIN PETHERBRIDGE
Signature Title DIRECTOR AND PRESIDENT
Signature Date 12/11/18

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