FORM 1023-EZ for LADY YOLO MC SC

Field Data
EIN 46-3965005
Case Number EO-2019112-000402
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LADY YOLO MC SC
Organization’s Mailing Address 8715 WESTKNOLL AVE
City ELK GROVE
State CA
ZIP 95624
Accounting period End 12
Primary contact name SHEONTA MALBROUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE JOHNSON
PRESIDENT
9009 LAGINA PLACE WAY
ELK GROVE CA 95758

Officer/Director/Trustee Two

SHEONTA MALBROUGH
TREASURE
8715 WESTKNOLL AVE
ELK GROVE CA 95624

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/14
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHEONTA MALBROUGH
Signature Title TREASURE
Signature Date 4/17/19
EIN 46-3965005
Case Number EO-2016011-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LADY YOLO
Organization’s Mailing Address 1864 MOTEREY PINE DRIVE
City ROSEVILLE
State CA
ZIP 95747-4832
Accounting period End 12
Primary contact name JUDITH KERRIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHANNA PICKENS
PRESIDENT
1864 MONTEREY PINES DRIVE
ROSEVILLE CA 95747-4832

Officer/Director/Trustee Two

CHRISTINE JOHNSON
VICE PRESIDENT
4309 SLONIKA COURT
ELK GROVE CA 95758-6092

Officer/Director/Trustee Three

CHENA CARTER
TREASURER
9009 DUMESS WAY
SACRAMENTO CA 95829

Officer/Director/Trustee Four

DEYETTA PICKENS-GIST
SECRETARY
2807 CLUB DRIVE
ROCKLIN CA 95765-4948

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
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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