FORM 1023-EZ for MIRA MESA HIGH SCHOOL BASKETBALL BOOSTER CLUB

Field Data
EIN 47-4615116
Case Number EO-2015223-000058
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIRA MESA HIGH SCHOOL BASKETBALL BOOSTER CLUB
Organization’s Mailing Address 11074 WESTONHILL DRIVE
City SAN DIEGO
State CA
ZIP 92126
Accounting period End 12
Primary contact name LEANDA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEANDA MOORE
PRESIDENT
11074 WESTONHILL DRIVE
SAN DIEGO CA 92126

Officer/Director/Trustee Two

JOHN WHEELER
VICE PRESIDENT
10526 AMANTHA AVE
SAN DIEGO CA 92126

Officer/Director/Trustee Three

CHRIS FISHER
TREASURER
7148 PENARA COURT
SAN DIEGO CA 92126

Officer/Director/Trustee Four

JENNIFER JONES
SECRETARY
9830 SYDNEY LANE 38105
SAN DIEGO CA 92126

Organization’s website
Organization’s email MMHSBASKETBALL@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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
Signature Title
Signature Date

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