FORM 1023-EZ for COAST SKATE CLUB

Field Data
EIN 87-1878749
Case Number EO-2021216-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COAST SKATE CLUB
Organization’s Mailing Address 165 PARK AVE
City CAYUCOS
State CA
ZIP 93430
Accounting period End 12
Primary contact name ROBYN KINNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBYN KINNEY
DIRECTOR
165 PARK AVE
CAYUCOS CA 93430

Officer/Director/Trustee Two

KARI BALLESTEROS
OFFICER
1812 9TH STREET
LOS OSOS CA 93402

Officer/Director/Trustee Three

DANIEL BALLESTEROS
OFFICER
1812 9TH STREET
LOS OSOS CA 93402

Officer/Director/Trustee Four

MICHAEL KINNEY
OFFICER
165 PARK AVENUE
CAYUCOS CA 93430

Organization’s website
Organization’s email SURFANGELS7@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2021
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: Yes
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 ROBYN KINNEY
Signature Title DIRECTOR
Signature Date 8/2/2021

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