FORM 1023-EZ for NAVAL SURFACE WARFARE CHENTER PHD CHIEF PETTY OFFICERS ASSOCIATION

Field Data
EIN 82-1164708
Case Number EO-2018176-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAVAL SURFACE WARFARE CHENTER PHD CHIEF PETTY OFFICERS ASSOCIATION
Organization’s Mailing Address 4363 MISSLE WAY
City PORT HUENEME
State CA
ZIP 93043-4307
Accounting period End 12
Primary contact name JEFFERY PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFERY PETERSON
PRESIDENT
1071 ORIOLE DRIVE
PORT HUENEME CA 93041-4225

Officer/Director/Trustee Two

GRAIG OLIVIER
VICE PRESIDENT
28349 MILLBROOK PLACE
CASTIC CA 91384-3829

Officer/Director/Trustee Three

XIAOLIN LAU
SECRETARY
1503 GRAVES AVENUE APT 814
OXNARD CA 93033-692

Officer/Director/Trustee Four

LISA PATENGE
TREASURER
1720 MONTIVIANA CIRCLE APT 1004
OXNARD CA 93033-694

Officer/Director/Trustee Five

TIMOTHY REINHARDT
TREASURER
180 RIPLEY STREET APT 22
CAMARILLO CA 93010-2641

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEFFERY PETERSON
Signature Title PRESIDENT
Signature Date 6/21/18

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