FORM 1023-EZ for YUCAIPA PICKLEBALL INC

Field Data
EIN 87-1919072
Case Number EO-2021230-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YUCAIPA PICKLEBALL INC
Organization’s Mailing Address 12841 MEDLAR STREET
City YUCAIPA
State CA
ZIP 92399-4955
Accounting period End 6
Primary contact name DIANE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE SMITH
PRESIDENT
12841 MEDLAR STREET
YUCAIPA CA 92399-4955

Officer/Director/Trustee Two

PATRICIA INGRAM
TREASURER
9346 YUCAIPA RIDGE ROAD
YUCAIPA CA 92399-2921

Officer/Director/Trustee Three

RICHARD RIOS
VICE PRESIDENT
35725 BELLA VISTA DRIVE
YUCAIPA CA 92399-4928

Officer/Director/Trustee Four

DEBRA HITTER
SECRETARY
12864 CYPRESS STREET
YUCAIPA CA 92399-2323

Officer/Director/Trustee Five

DENNIS BANAAG
ADULT PROGRAM REP
36924 GALLERY LANE
BEAUMONT CA 92223-8133

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N66 - Tennis, Racquet Sports Clubs, Leagues
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 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 DIANE SMITH
Signature Title PRESIDENT
Signature Date 8/16/2021

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