FORM 1023-EZ for PACIFIC GRAVITY HOMEBREWERS CLUB

Field Data
EIN 45-4399109
Case Number EO-2017072-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PACIFIC GRAVITY HOMEBREWERS CLUB
Organization’s Mailing Address BOX 2451
City CULVER CITY
State CA
ZIP 90231
Accounting period End 12
Primary contact name TERRENCE MOLLOY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MUSGRAVE
PRESIDENT
11324-A WASHINGTON PLACE
LOS ANGELES CA 90066

Officer/Director/Trustee Two

TERRENCE MOLLOY
VICE PRESIDENT
6738 W 87TH PLACE
LOS ANGELES CA 90045

Officer/Director/Trustee Three

JOHN TIMOTHY BARDET
TREASURER
11325 HOMEDALE STREET
LOS ANGELES CA 90049

Officer/Director/Trustee Four

TANIA MUSGRAVE
SECRETARY
11324-A WASHINGTON PLACE
LOS ANGELES CA 90066

Officer/Director/Trustee Five

CARL TOWNSEND
COMPETITION COORDINATOR
3425 REDWOOD
LOS ANGELES CA 90066

Organization’s website WWW.PACIFICGRAVITY.COM
Organization’s email PRESIDENT@PACIFICGRAVITY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: No
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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