FORM 1023-EZ for EMPIRE FOOTBALL CLUB

Field Data
EIN 82-1130794
Case Number EO-2017192-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMPIRE FOOTBALL CLUB
Organization’s Mailing Address 12110 FENIMORE DRIVE
City MORENO VALLEY
State CA
ZIP 92555
Accounting period End 12
Primary contact name JORDAN VON RAJCS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC BUFFINGTON
SENIOR EXECUTIVE PARTNER
25672 LAURELWOOD PL
MORENO VALLEY CA 92557

Officer/Director/Trustee Two

CHRISTIAN SANDOVAL
SENIOR EXECUTIVE PARTNER
13953 STODDARD ST
MORENO VALLEY CA 92555

Officer/Director/Trustee Three

JORDAN VON RAJCS
SENIOR EXECUTIVE PARTNER
12110 FENIMORE DRIVE
MORENO VALLEY CA 92555

Officer/Director/Trustee Four

NA NA
NA
NA
NA CA 92555

Officer/Director/Trustee Five

NA NA
NA
NA
NA CA 92555

Organization’s website
Organization’s email INLANDEMPIREFOOTBALLCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2017
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: Yes
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 Yes
Conducting Activities Outside of United States Yes
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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