FORM 1023-EZ for LESLYS CPR

Field Data
EIN 82-4208752
Case Number EO-2018057-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LESLYS CPR
Organization’s Mailing Address 14426 GREEN RIVER RD
City VICTORVILLE
State CA
ZIP 92394
Accounting period End 12
Primary contact name LESLY PICKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLY PICKETT
LVN
14426 GEEN RIVER RD
VICTORVILLE CA 92394

Officer/Director/Trustee Two

DEBRA MCCRAY
RETIRED
10479 BIG CHIEF ST
VICTORVILLE CA 92392

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 LESLY PICKETT
Signature Title LVN
Signature Date 2/22/18

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