FORM 1023-EZ for GREEN FLASH CLUB INC

Field Data
EIN 45-5115251
Case Number EO-2016012-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREEN FLASH CLUB INC
Organization’s Mailing Address PO BOX 70
City SANTA MONICA
State CA
ZIP 90406
Accounting period End 12
Primary contact name COLE JACKSON CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON WHITE
CEO
135 VOYAGE MALL
MARINA DEL REY CA 90292

Officer/Director/Trustee Two

ANDREW VALDIVIA
SECRETARY
7591 COASTAL VIEW DR
LOS ANGELES CA 90045

Officer/Director/Trustee Three

DENNIS WHITE
TREASURER
1001 CHAUTAUQUA BLVD
PACIFIC PALISADES CA 90272

Officer/Director/Trustee Four

PAUL SCHRIEFFER
VICE PRES
100 N BARRANDA 1100
WEST COVINA CA 91791

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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