FORM 1023-EZ for NORTH COUNTY DERBY ALLIANCE CORPORATION

Field Data
EIN 47-3701857
Case Number EO-2015338-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH COUNTY DERBY ALLIANCE CORPORATION
Organization’s Mailing Address 4225 H 198 OCEANSIDE BLVD
City OCEANSIDE
State CA
ZIP 92056-9997
Accounting period End 12
Primary contact name MARGARET REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARGARET REED
CHIEF EXECUTIVE OFFICER, CHAIRMAN
4883 SURREALIST CT
OCEANSIDE CA 92057

Officer/Director/Trustee Two

JAIME TEETER-HOUSEHOLDER
DIRECTOR, TREASURER
3453 RAVINE DRIVE
CARLSBAD CA 92010

Officer/Director/Trustee Three

SHAINA ZURA
DIRECTOR, PROMOTIONS
322 S FREEMAN STREET
OCEANSIDE CA 92054

Officer/Director/Trustee Four

AMBER URQUIA
DIRECTOR, SECRETARY
874 VIA SOLEDAD
VISTA CA 92084

Officer/Director/Trustee Five

KRISTIN TREVINO
DIRECTOR, BOUT COORDINATOR
4957 CALLE SOBRADO
OCEANSIDE CA 92056

Organization’s website NORTHCOUNTYDERBY.COM
Organization’s email NORTHCOUNTYDERBYALLIANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
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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