FORM 1023-EZ for SAN JOSE 340 SQUAD CLUB INC

Field Data
EIN 27-5145535
Case Number EO-2018059-000366
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAN JOSE 340 SQUAD CLUB INC
Organization’s Mailing Address 2020 JUNCTION AVENUE
City SAN JOSE
State CA
ZIP 95131
Accounting period End 12
Primary contact name MICHAEL C CROSBY ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS BOWEN
PRESIDENT
2020 JUNCTION AVENUE
SAN JOSE CA 95131

Officer/Director/Trustee Two

AMARANTINA MEDEIROS
SECRETARY
2020 JUNCTION AVENUE
SAN JOSE CA 95131

Officer/Director/Trustee Three

HENRIK BAILEY
TREASURER
2020 JUNCTION AVENUE
SAN JOSE CA 95131

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/11
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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 Yes
Correctness Declaration Yes
Signature Name AMARANTINA MEDEIROS
Signature Title SECRETARY
Signature Date 2/26/18

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