FORM 1023-EZ for THE LA MIRADA HIGH SCHOOL ATHLETICHALL OF FAME INC

Field Data
EIN 87-1650291
Case Number EO-2021237-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE LA MIRADA HIGH SCHOOL ATHLETICHALL OF FAME INC
Organization’s Mailing Address 13520 ADELFA DR
City LA MIRADA
State CA
ZIP 90638
Accounting period End 12
Primary contact name ATSUSHI YAMAGUCHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA REED
CEO - DIRECTOR
13520 ADELFA DR
LA MIRADA CA 90638

Officer/Director/Trustee Two

STEVE JONES
SECRETARY - DIRECTOR
13520 ADELFA DR
LA MIRADA CA 90638

Officer/Director/Trustee Three

CHRISTINE MEAD
CFO - DIRECTOR
13520 ADELFA DR
LA MIRADA CA 90638

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
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 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 No
Signature Name STEVE JONES
Signature Title SECRETARY - DIRECTOR
Signature Date 8/23/2021

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