FORM 1023-EZ for LONG BEACH GRAY PANTHERS

Field Data
EIN 81-1247066
Case Number EO-2018004-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LONG BEACH GRAY PANTHERS
Organization’s Mailing Address 1150 EAST 4TH STREET
City LONG BEACH
State CA
ZIP 90802-1735
Accounting period End 12
Primary contact name MYRON WOLLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN RESIDE
SECRETARY
1150 EAST 4TH STREET
LONG BEACH CA 90802-1735

Officer/Director/Trustee Two

MYRON WOLLIN
PRESIDENT
1150 EAST 4TH STREET
LONG BEACH CA 90802-1735

Officer/Director/Trustee Three

MARY ALICE SEDILLO
TREASURER
1150 EAST 4TH STREET
LONG BEACH CA 90802

Officer/Director/Trustee Four

BILL SIVE
VICE PRESIDENT
1150 EAST 4TH STREET
LONG BEACH CA 90802-1735

Officer/Director/Trustee Five

JOHN KINDRED
OUTREACH COORDINATOR
1150 EAST 4TH STREET
LONG BEACH CA 90802-1735

Organization’s website WWW.LONGBEACHGRAYPANTHERS.ORG
Organization’s email LONGBEACHGRAYPANTHERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/16
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R25 - Seniors' Rights
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 MYRON WOLLIN
Signature Title PRESIDENT
Signature Date 1/2/18

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