FORM 1023-EZ for PIONEER HIGH SCHOOL GIRLS SOCCER BOOSTER CLUB

Field Data
EIN 27-2466023
Case Number EO-2019193-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIONEER HIGH SCHOOL GIRLS SOCCER BOOSTER CLUB
Organization’s Mailing Address 2594 FARMERS CENTRAL ROAD
City WOODLAND
State CA
ZIP 95776
Accounting period End 12
Primary contact name MARK SELFRIDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK SELFRIDGE
PRESIDENT
2594 FARMERS CENTRAL ROAD
WOODLAND CA 95776

Officer/Director/Trustee Two

TAMARA SELFRIDGE
SECRETARY
2594 FARMERS CENTRAL ROAD
WOODLAND CA 95776

Officer/Director/Trustee Three

PHIL WILLON
FUND RAISING COORDINATOR
25 PALM AVENUE
WOODLAND CA 95695

Officer/Director/Trustee Four

STEFANIE MARTINEZ
EVENT COORDINATOR
16 JOYCE COURT
WOODLAND CA 95776

Officer/Director/Trustee Five

BIANCA MUNOZ
VICE PRESIDENT/TREASURER
648 DENISE DRIVE
WOODLAND CA 95776

Organization’s website N/A
Organization’s email MARKSTEVESELFRIDGE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 MARK SELFRIDGE
Signature Title PRESIDENT
Signature Date 7/10/19

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