FORM 1023-EZ for SANTA CLARITA PSL INC

Field Data
EIN 47-4513464
Case Number EO-2015220-000011
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SANTA CLARITA PSL INC
Organization’s Mailing Address 18732 VISTA DEL CANON UNIT F
City NEWHALL
State CA
ZIP 91321
Accounting period End 12
Primary contact name CARLOS BEDOLLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARLOS BEDOLLA
PRESIDENT
18732 VISTA DEL CANON UNIT F
NEWHALL CA 91321

Officer/Director/Trustee Two

CARLOS LUNA
TREASURER
18209 SIERRA HIGHWAY STE 38
CANYON COUNTRY CA 91351

Officer/Director/Trustee Three

JONATHAN CABRERA
SECRETARY
27707 CLIO LANE
CANYON COUNTRY CA 91351

Officer/Director/Trustee Four

BENJAMIN BANG
DIRECTOR
23414 VIA FARALLON
VALENCIA CA 91355

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer 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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