FORM 1023-EZ for SPRING VALLEY LAKE VETERANS CLUB

Field Data
EIN 81-3296334
Case Number EO-2019284-000173
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPRING VALLEY LAKE VETERANS CLUB
Organization’s Mailing Address 12939 AMADOR CIRCLE
City APPLE VALLEY
State CA
ZIP 92308-6069
Accounting period End 12
Primary contact name CHERYL L BLUY CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT READ
PRESIDENT
12939 AMADOR CIRCLE
APPLE VALLEY CA 92308-6069

Officer/Director/Trustee Two

ALLEN COLE
SECRETARY
14015 HIDDEN VALLEY
VICTORVILLE CA 92395

Officer/Director/Trustee Three

ALLEN COLE
TREASURER
14015 HIDDEN VALLEY
VICTORVILLE CA 92395

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
Correctness Declaration Yes
Signature Name ROBERT READ
Signature Title PRESIDENT
Signature Date 10/7/19
EIN 81-3296334
Case Number EO-2017011-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPRING VALLEY LAKE VETERANS CLUB
Organization’s Mailing Address 12939 AMADOR CIRCLE
City APPLE VALLEY
State CA
ZIP 92308
Accounting period End 12
Primary contact name ANDRA PIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS FULLER
PRESIDENT
8797 SVL BOX
VICTORVILLE CA 92395

Officer/Director/Trustee Two

ROBERT READ
VICE PRESIDENT
12939 AMADOR CIRCLE
APPLE VALLEY CA 92308

Officer/Director/Trustee Three

ANDRA PIER
SECRETARY
8579 SVL BOX
VICTORVILLE CA 92395

Officer/Director/Trustee Four

ROBERT DRENNAN
TREASURER
9005 SVL BOX
VICTORVILLE CA 92395

Organization’s website
Organization’s email SVLVETERANS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 Yes
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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