FORM 1023-EZ for VERDUGO LACROSSE

Field Data
EIN 84-3151322
Case Number EO-2019277-000819
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VERDUGO LACROSSE
Organization’s Mailing Address 1631 CAMULOS AVENUE
City GLENDALE
State CA
ZIP 91208
Accounting period End 12
Primary contact name GIL AVILES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH CAMPBELL
CHAIRMAN
PO BOX 117
TEMPLE CITY CA 91780

Officer/Director/Trustee Two

MICHAEL DULAY
PRESIDENT
23812 WOODPARK COURT
VALENCIA CA 91354

Officer/Director/Trustee Three

STEPHEN O BRYAN
VICE PRESIDENT
1631 CAMULOS AVENUE
GLENDALE CA 91208

Officer/Director/Trustee Four

NYSA GALLEGOS
TREASURER
14041 LAKESIDE STREET
SYLMAR CA 91342

Officer/Director/Trustee Five

GIL AVILES
SECRETARY
1243 ARMADA DRIVE
PASADENA CA 91103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GIL AVILES
Signature Title SECRETARY
Signature Date 10/2/19

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