FORM 1023-EZ for DORSEY HIGH SCHOOL BOOSTER CLUB FOREXCELLENCE

Field Data
EIN 81-3671345
Case Number EO-2017184-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DORSEY HIGH SCHOOL BOOSTER CLUB FOREXCELLENCE
Organization’s Mailing Address 2260 W 29TH PLACE
City LOS ANGELES
State CA
ZIP 90018
Accounting period End 12
Primary contact name SELMA HENDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY GAINES
PRESIDENT AND DIRECTOR
2260 WEST 29TH PLACE
LOS ANGELES CA 90018

Officer/Director/Trustee Two

SELMA HENDY
SECRETARY AND DIRECTOR
2260 WEST 29TH PLACE
LOS ANGELES CA 90018

Officer/Director/Trustee Three

AMANDA IBARRA
TREASURE AND DIRECTOR
2260 WEST 29TH PLACE
LOS ANGELES CA 90018

Officer/Director/Trustee Four

MICHELLE WHITE
DIRECTOR
2260 WEST 29TH PLACE
LOS ANGELES CA 90018

Officer/Director/Trustee Five

BRIDGETTE ROSSER
VICE PRESIDENT AND DIRECTOR
2260 WEST 29TH PLACE
LOS ANGELES CA 90018

Organization’s website
Organization’s email DHSBOOSTERCLUBFOREXCELLENCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2016
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 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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