FORM 1023-EZ for CLUB CGL & CY

Field Data
EIN 84-2135014
Case Number EO-2019186-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLUB CGL & CY
Organization’s Mailing Address 22937 LONE OAK WAY
City MURRIETA
State CA
ZIP 92562
Accounting period End 12
Primary contact name JOANNA SANDOVAL JIMENEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOANNA SANDOVAL JIMENEZ
PRESIDENT
22937 LONE OAK WAY
MURRIETA CA 92562

Officer/Director/Trustee Two

GUADALUPE SARRESHTEHDARI
TREASURER
22937 LONE OAK WAY
MURRIETA CA 92562

Officer/Director/Trustee Three

EUFRACIA VALDEZ
SECRETARY
22937 LONE OAK WAY
MURRIETA CA 92562

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JOANNA SANDOVAL JIMENEZ
Signature Title PRESIDENT
Signature Date 7/2/19

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