FORM 1023-EZ for THE BOYS AND GIRLS CLUB OF CARLSBADFOUNDATION

Field Data
EIN 33-0378861
Case Number EO-2015007-000389
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BOYS AND GIRLS CLUB OF CARLSBADFOUNDATION
Organization’s Mailing Address 2730 BRESSI RANCH WAY
City CARLSBAD
State CA
ZIP 92009
Accounting period End 6
Primary contact name BRAD HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRAD HOLLAND
CEO
2730 BRESSI RANCH WAY
CARLSBAD CA 92009

Officer/Director/Trustee Two

SCOTT GRUGEL
PRESIDENT
2730 BRESSI RANCH WAY
CARLSBAD CA 92009

Officer/Director/Trustee Three

RICHARD MACGURN
EXECUTIVE SECRETARY
2730 BRESSI RANCH WAY
CARLSBAD CA 92009

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/1989
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O23 - Boys and Girls Clubs (Combined)
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 Yes
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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