FORM 1023-EZ for LGBT COMMUNITY NETWORK

Field Data
EIN 81-3066621
Case Number EO-2016215-000153
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LGBT COMMUNITY NETWORK
Organization’s Mailing Address 655 MINNEWAWA AVE SUITE 278
City CLOVIS
State CA
ZIP 93612
Accounting period End 12
Primary contact name JASON SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON SCOTT
PRESIDENT
655 MINNEWAWA SUITE 278
CLOVIS CA 93612

Officer/Director/Trustee Two

PEDRO AYALA
VICE PRESIDENT
2358 S MERIDIAN AVE
FRESNO CA 93725

Officer/Director/Trustee Three

RANDY GRAY
TREASURER
7690 E HERNDON AVE
CLOVIS CA 93619

Officer/Director/Trustee Four

JAYMI MORGAN
SECRETARY
4545 E HOME AVE
FRESNO CA 93703

Organization’s website WWW.GAYCOMMUNITYNETWORK.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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