FORM 1023-EZ for MARIPOSA GRIZZLIES QUARTERBACK CLUBINC

Field Data
EIN 81-3508718
Case Number EO-2016258-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARIPOSA GRIZZLIES QUARTERBACK CLUBINC
Organization’s Mailing Address PO BOX 5008-137
City MARIPOSA
State CA
ZIP 95338
Accounting period End 12
Primary contact name TODD ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD ROBINSON
PRESIDENT
5002 SIERRA PINES DR
MARIPOSA CA 95338

Officer/Director/Trustee Two

MONIQUE BEAUDOIN
TREASURER
5229 CARLTON RD
MARIPOSA CA 95338

Officer/Director/Trustee Three

DAWNIELE OLIPHANT
SECRETARY
5214 EAST WHITLOCK RD
MARIPOSA CA 95338

Organization’s website
Organization’s email MGQBCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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
Signature Title
Signature Date

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