FORM 1023-EZ for ON TRACK BOOSTER ASSOCIATION

Field Data
EIN 47-5029145
Case Number EO-2015323-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ON TRACK BOOSTER ASSOCIATION
Organization’s Mailing Address 1266 SAN CARLOS AVE
City CONCORD
State CA
ZIP 94518-1102
Accounting period End 6
Primary contact name LESLIE BOEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LESLIE BOEN
PRESIDENT
1353 BERKELY PLACE
LIVERMORE

Officer/Director/Trustee Two

DAISY SHYVERS
VICE PRESIDENT
38 NIGHTINGALE COURT
OAKLEY CA 94561

Officer/Director/Trustee Three

VIRGEEN KING
SECRETARY
2756 ASILOMAR DR
ANTIOCH CA 94531

Officer/Director/Trustee Four

KAORU PEGGY DUBOIS
TREASURER
525 ROANOKE DR
MARTINEZ CA 94553

Organization’s website
Organization’s email ONTRACKBA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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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