FORM 1023-EZ for SAM THOMPSON MEMORIAL FOUNDATION FOR DISABLED JOCKEYS
| Field | Data |
|---|---|
| EIN | 47-2417170 |
| Case Number | EO-2016029-000354 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SAM THOMPSON MEMORIAL FOUNDATION FOR DISABLED JOCKEYS |
| Organization’s Mailing Address | 5299 E VERMONT |
| City | LONG BEACH |
| State | CA |
| ZIP | 90814 |
| Accounting period End | 12 |
| Primary contact name | STANLEY C HENSLEE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
KAREN HILBURN
PRESIDENT
5299 E VERMONT
LONG BEACH CA 90814
Officer/Director/Trustee Two
LAURA JOINER
TREASURER
1007 VALLEY VIEW NO156
CYPRESS CA 90630
Officer/Director/Trustee Three
KRISTEN WATANABE
SECRETARY
2966 CLAREMORE LN
LONG BEACH CA 90815
Officer/Director/Trustee Four
JIM ANDERSON
VICE PRESIDENT
4961 KATELLA
LOS ALAMITOS CA 90720
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/18/2014 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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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