FORM 1023-EZ for LA GRIZ

Field Data
EIN 81-2035299
Case Number EO-2016144-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LA GRIZ
Organization’s Mailing Address 445 N AMELIA AVE APT 31F
City SAN DIMAS
State CA
ZIP 91773
Accounting period End 12
Primary contact name TONY PIPO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID MISCH
PRESIDENT
445 N AMELIA AVE
SAN DIMAS CA 91793

Officer/Director/Trustee Two

MARIO SALDANA
VICE PRESIDENT
9286 BONAVISTA LANE
WHITTIER CA 90603

Officer/Director/Trustee Three

JAKE MERRIFIELD
SECRETARY
11308 SINCLAIR PLACE
PORTER RANCH CA 91326

Officer/Director/Trustee Four

TONY PIPO
TREASURER
3386 RIDGE POINTE RD
CHINO HILLS CA 91709

Officer/Director/Trustee Five

NIKKI HANAMAIKAI
DIRECTOR OF PERSONNEL
714 S SHASTA ST
WEST COVINA CA 91791

Organization’s website HTTP://LAGRIZZLIES.COM/
Organization’s email TMPIPONV@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
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
Signature Title
Signature Date

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