FORM 1023-EZ for MOTHERLODE VOLLEYBALL CLUB

Field Data
EIN 83-2499958
Case Number EO-2019246-000420
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTHERLODE VOLLEYBALL CLUB
Organization’s Mailing Address 711 LIVE OAK DRIVE
City ANGELS CAMP
State CA
ZIP 95222
Accounting period End 10
Primary contact name BETHANY JENNINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETHANY JENNINGS
DIRECTOR
711 LIVE OAK DRIVE
ANGELS CAMP CA 95222

Officer/Director/Trustee Two

SARA TUTTHILL
PRESIDENT/SECRETARY
PO BOX 183
MURPHYS CA 95247

Organization’s website WWW.MOTHERLODEVOLLEYBALLCLUB.US
Organization’s email MOTHERLODEVBC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BETHANY JENNINGS
Signature Title DIRECTOR
Signature Date 8/30/19

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