FORM 1023-EZ for DOS PALOS BAND BOOSTERS

Field Data
EIN 84-3673471
Case Number EO-2019323-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOS PALOS BAND BOOSTERS
Organization’s Mailing Address PO BOX 11
City DOS PALOS
State CA
ZIP 93620
Accounting period End 12
Primary contact name PHILIP MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP MILLER
PRESIDENT
701 EGGLSTON AVE
DOS PALOS CA 93620-9564

Officer/Director/Trustee Two

AMY MILLER
SECRETARY
701 EGGLESTON AVE
DOS PALOS CA 93620-9564

Officer/Director/Trustee Three

JODY MCCLELLON
TREASURER
17341 EVANS AVE
DOS PALOS CA 93620

Officer/Director/Trustee Four

JANET MILLER
PUBLIC RELATIONS OFFICER
861 CALIFORNIA ST
DOS PALOS CA 93620

Organization’s website
Organization’s email 2PMILLER@COMCAST.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMY MILLER
Signature Title SECRETARY
Signature Date 11/15/19

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