FORM 1023-EZ for LA FAMILIA BOXING

Field Data
EIN 81-1774983
Case Number EO-2016074-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LA FAMILIA BOXING
Organization’s Mailing Address 1101 21ST AVE
City LONGMONT
State CO
ZIP 80501
Accounting period End 12
Primary contact name ALEXANDER HALPERN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RANDALL LOPEZ
PRESIDENT AND DIRECTOR
1101 21ST AVE
LONGMONT CO 80501

Officer/Director/Trustee Two

JESSE POLLACK
DIRECTOR
225 KIMBARK
LONGMONT CO 80501

Officer/Director/Trustee Three

ANGEL COMPIAN
DIRECTOR
1545 MAIN ST
LONGMONT CO 80501

Officer/Director/Trustee Four

SCOTT SOUTHER
SECRETARY
11260 COLUMBINE ST
FIRESTONE CO 80504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
One Third Support Gifts No
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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