FORM 1023-EZ for PENINSULA VAULT CLUB

Field Data
EIN 83-1696832
Case Number EO-2018239-000820
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PENINSULA VAULT CLUB
Organization’s Mailing Address 445 6TH AVE
City MENLO PARK
State CA
ZIP 94025-1840
Accounting period End 12
Primary contact name DAVID STAHLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID STAHLER
PRESIDENT
445 6TH AVE
MENLO PARK CA 94025-1840

Officer/Director/Trustee Two

JENNY STAHLER
SECRETARY
445 6TH AVE
MENLO PARK CA 94025-1840

Organization’s website HTTPS://DSTAHLER.WIXSITE.COM/PENINSULAVAULTCLUB
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID STAHLER
Signature Title PRESIDENT
Signature Date 8/24/18

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