FORM 1023-EZ for DELTA ETA GOLF TOURNAMENT

Field Data
EIN 81-3588358
Case Number EO-2016330-000396
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DELTA ETA GOLF TOURNAMENT
Organization’s Mailing Address 409 NORTH PCH SUITE 595
City REDONDO BEACH
State CA
ZIP 90277
Accounting period End 12
Primary contact name JULIE HAROUTUNIAN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BURKE BERENDES
BOARD MEMBER
409 NORTH PCH SUITE 595
REDONDO BEACH CA 90354

Officer/Director/Trustee Two

TIMOTHY CASON
BOARD MEMBER
409 NORTH PCH SUITE 595
REDONDO BEACH CA 90354

Officer/Director/Trustee Three

BRADLEY HAMLIN
BOARD MEMBER
409 NORTH PCH SUITE 595
REDONDO BEACH CA 90354

Officer/Director/Trustee Four

DAVID LOWE
BOARD MEMBER
409 NORTH PCH SUITE 595
REDONDO BEACH CA 90354

Officer/Director/Trustee Five

JOSEPH LUCAS
BOARD MEMBER
409 NORTH PCH SUITE 595
REDONDO BEACH CA 90354

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
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 Yes
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
Signature Title
Signature Date

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