FORM 1023-EZ for DOS PALOS ATHLETIC BOOSTERS

Field Data
EIN 90-1035975
Case Number EO-2017090-000501
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOS PALOS ATHLETIC BOOSTERS
Organization’s Mailing Address 1133 SAN JOSE
City DOS PALOS
State CA
ZIP 93620
Accounting period End 12
Primary contact name BILL VAN WORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE MILLER
PRESDIDENT
2011 MITCHELL
DOS PALOS CA 93620

Officer/Director/Trustee Two

CRYSTAL GUERRERO
VICE PRESIDENT
222 GEORGE
DOS PALOS CA 93620

Officer/Director/Trustee Three

BILL VAN WORTH
TRESURE
1133 SAN JOSE
DOS PALOS CA 93620

Officer/Director/Trustee Four

HELGA DOWNS
MEMBERSHIP CHAIR
1133 SAN JOSE
DOS PALOS CA 93620

Officer/Director/Trustee Five

MISTY CALVERT
SECRETARY
840 GEORGE
DOS PALOS CA 93620

Organization’s website DPBAB@WEEBLY.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 Yes
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
Signature Title
Signature Date

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