FORM 1023-EZ for LA MIRADA EBELLS CLUB

Field Data
EIN 95-6053579
Case Number EO-2017248-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LA MIRADA EBELLS CLUB
Organization’s Mailing Address PO BOX 73
City LA MIRADA
State CA
ZIP 90638
Accounting period End 6
Primary contact name DEBRA BRAGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA BRAGG
PRESIDENT
14711 CALPELLA ST
LA MIRADA CA 90638

Officer/Director/Trustee Two

DEBBIE SOTO
TREASURER
12108 FLORAL DR
WHITTIER CA 90601

Officer/Director/Trustee Three

SOCORRO FRIAS
1ST VICE PRESIDENT
15819 GREENWORTH DR
LA MIRADA CA 90638

Officer/Director/Trustee Four

ADRIENNE DELAMA
2ND VICE PRESIDENT
15531 TALBOT DR
LA MIRADA CA 90638

Officer/Director/Trustee Five

REBECCA CLINE
3RD VICE PRESIDENT
16103 ORSA DR
LA MIRADA CA 90638

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/1957
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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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