FORM 1023-EZ for CAPITAL OUTRIGGER INC

Field Data
EIN 81-5019827
Case Number EO-2017040-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAPITAL OUTRIGGER INC
Organization’s Mailing Address 1608 OLD HART RANCH RD
City ROSEVILLE
State CA
ZIP 95661
Accounting period End 6
Primary contact name STEVEN BECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN BECKER
PRESIDENT
PO BOX 2552
GRASS VALLEY CA 95945

Officer/Director/Trustee Two

WENDY KLOKKEVOLD
VICE PRESIDENT
5060 THALIA DR
EL DORADO HILLS CA 95762

Officer/Director/Trustee Three

GAIL PIERCE
TREASURER
8147 ORELLE CRK CT
CITRUS HEIGHTS CA 95610

Officer/Director/Trustee Four

BILLIE CALLAHAN
SECRETARY
4521 HAZELWOOD AVE
SACRAMENTO CA 95821

Organization’s website HTTP://WWW.CAPITALOUTRIGGER.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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