FORM 1023-EZ for FCAP INCORPORATED

Field Data
EIN 47-1978721
Case Number EO-2015107-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FCAP INCORPORATED
Organization’s Mailing Address 11802 HOMESTEAD PL
City GARDEN GROVE
State CA
ZIP 92840
Accounting period End 12
Primary contact name MICHAEL BOYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL BOYER
CHAIRPERSON/PRESIDENT
11802 HOMESTEAD PL
GARDEN GROVE CA 92840-5517

Officer/Director/Trustee Two

NICHOLAS KLANSKO
DIRECTOR/VICE PRESIDENT
2730 PORTAGE BAY EAST APT 1607B
DAVIS CA 95616-2872

Officer/Director/Trustee Three

KELSEY HUBERTY
DIRECTOR/TREASURER
380 W WILSON ST C106
COSTA MESA CA 92627-1661

Officer/Director/Trustee Four

BROOKE CONSTABLE
DIRECTOR/SECRATARY
380 W WILSON ST C106
COSTA MESA CA 92627-1661

Organization’s website
Organization’s email MIKE@BOYERSCHOLARSHIPFUND.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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