FORM 1023-EZ for SAN DIEGO SPECIAL HOCKEY

Field Data
EIN 83-3765309
Case Number EO-2019071-000760
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAN DIEGO SPECIAL HOCKEY
Organization’s Mailing Address 739 KNIGHTS BRIDGE CT
City CARDIFF BY THE SEA
State CA
ZIP 92007
Accounting period End 12
Primary contact name RALPH SILVERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDRA SILVERMAN
PRESIDENT
739 KNIGHTS BRIDGE CT
CARDIFF BY THE SEA CA 92007

Officer/Director/Trustee Two

BRYAR JONES
TREASURER
622 SILVERWOOD ST
OCEANSIDE CA 92058

Officer/Director/Trustee Three

GARRY BURGESS
SECRETARY/DIRECTOR
14180 CLASSIQUE WAY
SAN DIEGO CA 92129

Officer/Director/Trustee Four

JUAN TREVINO
VICE PRESIDENT/DIRECTOR
6836 XANA WAY
CARLSBAD CA 92009

Officer/Director/Trustee Five

CHRISTINE FRANEY
DIRECTOR
728 VIA DE PLATA
SAN MARCOS CA 92069

Organization’s website
Organization’s email RALPH@BAYDELTAMARITIME.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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 ALEXANDRA SILVERMAN
Signature Title PRESIDENT
Signature Date 3/7/19

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