FORM 1023-EZ for OPTIMIST CLUB OF SAN ANTONIO - VALLEY HI TEXAS

Field Data
EIN 74-6073956
Case Number EO-2020006-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPTIMIST CLUB OF SAN ANTONIO - VALLEY HI TEXAS
Organization’s Mailing Address 2121 SAN FRANCISCO ST
City SAN ANTONIO
State TX
ZIP 78201-4367
Accounting period End 9
Primary contact name MONICA YZAGUIRRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA YZAGUIRRE
PRESIDENT
7620 HEUERMANN RD
SAN ANTONIO TX 78256-9629

Officer/Director/Trustee Two

MARTHA HITZFELDER-BLACKWELL
SECRETARY
9325 LAUREL GROVE
SAN ANTONIO TX 78250-3581

Officer/Director/Trustee Three

AMBERLY DIAZ
TREASURER
676 AVENUE J
LAKE HILLS TX 78063-7333

Officer/Director/Trustee Four

JOHN BLACKWELL
FOUNDATION REPRESENTATIVE
9325 LAUREL GROVE
SAN ANTONIO TX 78250-9629

Officer/Director/Trustee Five

ERIC FALCON
BOARD MEMBER
7114 BROOKPORT
SAN ANTONIO TX 78238-3526

Organization’s website DYHANARA.COM/OPTIMISTCLUB/ABOUT
Organization’s email VALLEYHIOC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/1962
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 MONICA YZAGUIRRE
Signature Title PRESIDENT
Signature Date 1/2/2020

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