FORM 1023-EZ for I TABLE TENNIS

Field Data
EIN 30-1003068
Case Number EO-2017284-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name I TABLE TENNIS
Organization’s Mailing Address 533 SAN PABLO AVE
City ALBANY
State CA
ZIP 94706
Accounting period End 12
Primary contact name BENNY FONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENNY FONG
PRESIDENT
1021 TALBOT AVE
ALBANY CA 94706

Officer/Director/Trustee Two

JANICE YAN
SECRETRARY
5530 MODOC AVE
RICHMOND CA 94804

Officer/Director/Trustee Three

ANIL DHUPELIA
TREASURER
124 CARMEL ST
SAN PABLO CA 94806

Officer/Director/Trustee Four

PETER PAN
BOARD DIRECTOR
5809 LASSEN ST
EL CERRITO CA 94530

Officer/Director/Trustee Five

KENT KEADING
BOARD DIRECTOR
60 LAUREL LN
EL SOBRANTE CA 94803

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2017
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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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