FORM 1023-EZ for EMPOWER VOLLEYBALL CLUB OF EASTVALE

Field Data
EIN 82-1984461
Case Number EO-2017297-000131
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMPOWER VOLLEYBALL CLUB OF EASTVALE
Organization’s Mailing Address 7523 SOARING BIRD CT
City EASTVALE
State CA
ZIP 92880
Accounting period End 12
Primary contact name JASON GOETTSCHE - DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON GOETTSCHE
DIRECTOR
7523 SOARING BIRD CT
EASTVALE CA 92880

Officer/Director/Trustee Two

TONYA GOETTSCHE
OFFICER
7523 SOARING BIRD CT
EASTVALE CA 92880

Officer/Director/Trustee Three

ELLA GOETTSCHE
OFFICER
7523 SOARING BIRD CT
EASTVALE CA 92880

Organization’s website EMPOWERVOLLEYBALLEASTVALE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2017
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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