FORM 1023-EZ for BAYANIHAN CLUB INCORPORATED

Field Data
EIN 51-0527011
Case Number EO-2015126-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAYANIHAN CLUB INCORPORATED
Organization’s Mailing Address 2700 N PERIWINKLE AVE
City MIDDLEBURG
State FL
ZIP 32068-6108
Accounting period End 4
Primary contact name ENRIQUE CARILLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDWIN VERGARA
PRESIDENT
2700 N PERIWINKLE AVE
MIDDLEBURG FL 32068-6108

Officer/Director/Trustee Two

ENRIQUE CARILLO
TREASURER
2700 N PERIWINKLE AVE
MIDDLEBURG FL 32068-6108

Officer/Director/Trustee Three

RAYMOND ARCANGEL
VICE PRESIDENT
2700 N PERIWINKLE AVE
MIDDLEBURG FL 32068-6108

Officer/Director/Trustee Four

JAMES DEVERA
BOARD MEMBER
2700 N PERIWINKLE AVE
MIDDLEBURG FL 32068-6108

Officer/Director/Trustee Five

BEN MILLADO
BOARD MEMBER
2700 N PERIWINKLE AVE
MIDDLEBURG FL 32068-6108

Organization’s website BAYANIHANCLUBINC.ORG
Organization’s email ENRICK@BAYANIHANCLUBINC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/1978
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 Yes
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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