FORM 1023-EZ for HAWK SOCCER BOOSTER CLUB

Field Data
EIN 83-1663985
Case Number EO-2018240-000137
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAWK SOCCER BOOSTER CLUB
Organization’s Mailing Address 12220 ROAD 36
City MADERA
State CA
ZIP 93636
Accounting period End 3
Primary contact name JENNIFER STEMPLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER STEMPLE
PRESIDENT
16252 KAREN RD
MADERA CA 93636

Officer/Director/Trustee Two

BLANCA GARIBAY
CO-VICE PRESIDENT
37195 MARCIEL AVE
MADERA CA 93636

Officer/Director/Trustee Three

JAN WELDON
CO-VICE PRESIDENT
41207 POMEGRANATE PLACE
MADERA CA 93636

Officer/Director/Trustee Four

KRISTY WRISTEN
TREASURER
16436 KAREN RD
MADERA CA 93636

Officer/Director/Trustee Five

LAURA STRONG
SECRETARY
37595 AVENUE 12 AND 1/2
MADERA CA 93636

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER STEMPLE
Signature Title PRESIDENT
Signature Date 8/26/18

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