FORM 1023-EZ for 840 SQUAD CLUB

Field Data
EIN 84-2552261
Case Number EO-2019213-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 840 SQUAD CLUB
Organization’s Mailing Address 8118 LINCOLN AVE
City RIVERSIDE
State CA
ZIP 92504
Accounting period End 12
Primary contact name SUSAN ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN CUEVAS
PRESIDENT
8118 LINCOLN AVENUE
RIVERSIDE CA 92504

Officer/Director/Trustee Two

JAVIER NAVARRO
SECRETARY
8118 LINCOLN AVENUE
RIVERSIDE CA 92504

Officer/Director/Trustee Three

SUSAN ROGERS
TREASURER
8118 LINCOLN AVENUE
RIVERSIDE CA 92504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 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 STEVEN CUEVAS
Signature Title PRESIDENT
Signature Date 7/30/19

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