FORM 1023-EZ for ESCOBAR MARTIAL ARTS CLUB

Field Data
EIN 85-1892557
Case Number EO-2020198-000290
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ESCOBAR MARTIAL ARTS CLUB
Organization’s Mailing Address 508 CHRISTIE DR
City SOUTH LAKE TAHOE
State CA
ZIP 96150
Accounting period End 7
Primary contact name DOLORES KUBRICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOLORES KUBRICH
PRESIDENT
508 CHRISTIE DR
SOUTH LAKE TAHOE CA 96150

Officer/Director/Trustee Two

HEATHER LARGENT
TREASURER
508 CHRISTIE DR
SOUTH LAKE TAHOE CA 96150

Officer/Director/Trustee Three

ORION IZZARD
VP - OUTREACH
508 CHRISTIE DR
SOUTH LAKE TAHOE CA 96150

Officer/Director/Trustee Four

KATHLEEN HOOD
SECRETARY
508 CHRISTIE DR
SOUTH LAKE TAHOE CA 96150

Officer/Director/Trustee Five

BRITTA SWANSON
VP - FUNDRAISING
508 CHRISTIE DR
SOUTH LAKE TAHOE CA 96150

Organization’s website WWW.EMACTAHOE.COM
Organization’s email EMARTIALARTSCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 BRITTA SWANSON
Signature Title VP - FUNDRAISING
Signature Date 7/14/2020

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