FORM 1023-EZ for PONDEROSA PATRIOTS

Field Data
EIN 46-3163994
Case Number EO-2015071-000876
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PONDEROSA PATRIOTS
Organization’s Mailing Address 2622 WOODY CREEK COURT
City CAMERON PARK
State CA
ZIP 95682
Accounting period End 12
Primary contact name SONYA IMBSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREG GIANT
PRESIDENT
2622 WOODY CREEK COURT
CAMERON PARK CA 95682

Officer/Director/Trustee Two

PHIL GROFT
VICE PRESIDENT
CHASEN DRIVE
CAMERON PARK CA 95682

Officer/Director/Trustee Three

SONYA IMBSEN
SECRETARY/TREASURER
3317 THORNHILL DRIVE
EL DORADO HILLS CA 95762

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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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