FORM 1023-EZ for CLUB P31

Field Data
EIN 83-1587294
Case Number EO-2018239-000409
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLUB P31
Organization’s Mailing Address 103 LOS PADRES DR
City THOUSAND OAKS
State CA
ZIP 91361
Accounting period End 12
Primary contact name NINA STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADELE BOYD
PRESIDENT
1476 CALLE TULIPAN
THOUSAND OAKS CA 91360

Officer/Director/Trustee Two

LYNE FIFE
VICE PRESIDENT
7423 CALVIN AVENUE
RESEDA CA 91335

Officer/Director/Trustee Three

KARLA WILEY
SECRETARY
7305 UNICORN CIRCLE
VENTURA CA 93003

Officer/Director/Trustee Four

NINA STEWART
EXECUTIVE DIRECTOR
103 LOS PADRES DR
THOUSAND OAKS CA 91361

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 NINA STEWART
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/23/18

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