FORM 1023-EZ for LASSEN CRIME STOPPERS

Field Data
EIN 81-3819594
Case Number EO-2016320-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LASSEN CRIME STOPPERS
Organization’s Mailing Address 1801 MAIN STREET
City SUSANVILLE
State CA
ZIP 96130
Accounting period End 12
Primary contact name MANDY MCGARVA CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAREN MCGROOME
PRESIDENT
1801 MAIN STREET
SUSANVILLE CA 96130

Officer/Director/Trustee Two

JIM UPTEGROVE
VICE PRESIDENT
1801 MAIN STREET
SUSANVILLE CA 96130

Officer/Director/Trustee Three

SHERRY BENNETT
SECRETARY
1801 MAIN STREET
SUSANVILLE CA 96130

Officer/Director/Trustee Four

ALAN INMAN
TREASURER
1801 MAIN STREET
SUSANVILLE CA 96130

Officer/Director/Trustee Five

JEREMY COUSO
DIRECTOR
1801 MAIN STREET
SUSANVILLE CA 96130

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I20 - Crime Prevention N.E.C.
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 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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