FORM 1023-EZ for CYBER SECURITY CLUB AT UT ARLINGTON

Field Data
EIN 84-3474281
Case Number EO-2020016-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CYBER SECURITY CLUB AT UT ARLINGTON
Organization’s Mailing Address 500 UTA BOULEVARD ERB 316
City ARLINGTON
State TX
ZIP 76019
Accounting period End 4
Primary contact name MARIO OLIVEROS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIO OLIVEROS
CO-PRESIDENT
500 UTA BOULEVARD ERB 316
ARLINGTON TX 76019

Officer/Director/Trustee Two

ERIKA LEAL
CO-PRESIDENT
500 UTA BOULEVARD ERB 316
ARLINGTON TX 76015

Officer/Director/Trustee Three

NISHAD AHERRAO
VICE PRESIDENT
500 UTA BOULEVARD ERB 316
ARLINGTON TX 76015

Officer/Director/Trustee Four

JIANG MING
FACULTY ADVISOR
500 UTA BOULEVARD ERB 528
ARLINGTON TX 76015

Organization’s website UTACSEC.ORG
Organization’s email UTA.CSEC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2010
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 No
Benefit of College Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARIO OLIVEROS
Signature Title CO-PRESIDENT
Signature Date 1/14/2020

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