FORM 1023-EZ for BROADEN THE HORIZON CLUB

Field Data
EIN 82-2969417
Case Number EO-2017283-000355
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROADEN THE HORIZON CLUB
Organization’s Mailing Address 2370 W CLEVELAND AVE STE 217
City MADERA
State CA
ZIP 93637
Accounting period End 12
Primary contact name ROYAL GOODMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROYAL GOODMAN
PRESIDENT, DIRECTOR
2370 W CLEVELAND AVE STE 217
MADERA CA 93637

Officer/Director/Trustee Two

MIDGE BELL
SECRETARY, DIRECTOR
2370 W CLEVELAND AVE STE 217
MADERA CA 93637

Officer/Director/Trustee Three

ZACK FLORES
TREASURER, DIRECTOR
2370 W CLEVELAND AVE STE 217
MADERA CA 93637

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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