FORM 1023-EZ for FUNDACION DE CLUBES JALICIENSES USA

Field Data
EIN 46-4596451
Case Number EO-2014254-000511
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FUNDACION DE CLUBES JALICIENSES USA
Organization’s Mailing Address 16312 CLARK AVENUE
City BELLFLOWER
State CA
ZIP 90723
Accounting period End 12
Primary contact name OCTAVIO HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

YANETT NAVARRO
PRESIDENT
13801 PARAMOUNT BLVD APT 3-120
PARAMOUNT CA 90723

Officer/Director/Trustee Two

ALFREDO CHVEZ
TREASURER
4330 HORNBROOK AVE
BALDWIN PARK CA 91706

Officer/Director/Trustee Three

HERIBERTO GUTIERREZ
SECRETRY
CHIRPING SPARROW
DIAMOND BAR CA 91762

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S50 - Nonprofit Management
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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