FORM 1023-EZ for STOCKTON SENIOR CITIZENS CLUB

Field Data
EIN 68-0148695
Case Number EO-2018141-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STOCKTON SENIOR CITIZENS CLUB
Organization’s Mailing Address 730 E FULTON ST
City STOCKTON
State CA
ZIP 95204-2236
Accounting period End 12
Primary contact name KAREN RAYLENE MAYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA HALL
PRESIDENT
635 E BARRYMORE
STOCKTON CA 95204-2229

Officer/Director/Trustee Two

ANNA MARIE VALADEZ-STOLTE
VICE-PRES
518 W PARDEE LN
STOCKTON CA 95207-7113

Officer/Director/Trustee Three

ENO UTO-UKO
SECRETARY
1833 SAINT LUKES WAY
STOCKTON CA 95206-4672

Officer/Director/Trustee Four

CARMEN WONG
TREASURER
2084 S TUXEDO AVE
STOCKTON CA 95204-4850

Officer/Director/Trustee Five

KAREN RAYLENE MAYERS
FINANCIAL SECRETARY
5837 MORGAN PI 100
STOCKTON CA 95219-4620

Organization’s website
Organization’s email STKNSRCTZNSCLUB@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/57
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SANDRA HALL
Signature Title PRESIDENT
Signature Date 5/17/18

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