FORM 1023-EZ for PALI HOOPS BOOSTER CLUB

Field Data
EIN 83-4508532
Case Number EO-2019126-000480
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALI HOOPS BOOSTER CLUB
Organization’s Mailing Address 1111 FISKE ST
City PACIFIC PALISADES
State CA
ZIP 90272
Accounting period End 12
Primary contact name CLAIRE HAAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAIRE HAAS
PRESIDENT, DIRECTOR
1111 FISKE ST
PACIFIC PALISADES CA 90272

Officer/Director/Trustee Two

CHRIS MOORE
SECRETARY, DIRECTOR
1111 FISKE ST
PACIFIC PALISADES CA 90272

Officer/Director/Trustee Three

SVANTE JOHANSON
TREASURER, DIRECTOR
1111 FISKE ST
PACIFIC PALISADES CA 90272

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/19
Organization Incorporation State CA
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 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 CLAIRE HAAS
Signature Title PRESIDENT, DIRECTOR
Signature Date 5/3/19

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