FORM 1023-EZ for DELTA BREEZE LACROSSE ASSOCIATION
| Field | Data |
|---|---|
| EIN | 84-1964809 |
| Case Number | EO-2019350-000362 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DELTA BREEZE LACROSSE ASSOCIATION |
| Organization’s Mailing Address | 4317 SEQUOIA DR |
| City | OAKLEY |
| State | CA |
| ZIP | 94561 |
| Accounting period End | 12 |
| Primary contact name | LAURIE BOONE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOHN BOONE
PRESIDENT/DIRECTOR
4317 SEQUOIA DR
OAKLEY CA 94561
Officer/Director/Trustee Two
LAURIE BOONE
TREAS/SEC/VICE PRESIDENT
4317 SEQUOIA DR
OAKLEY CA 94561
Officer/Director/Trustee Three
KELLY LAUBENHEIMER
DIRECTOR
2436 BERKSHIRE LN
BRENTWOOD CA 94513
Officer/Director/Trustee Four
DAVID TRIESCHMAN
DIRECTOR
780 BRANNAN PL
CONCORD CA 94518
| Organization’s website | WWW.DBLAX.COM |
|---|---|
| Organization’s email | CALBOONE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/21/2019 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N99 - Recreation, Sports, Leisure, Athletics 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 | Yes |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | LAURIE BOONE |
| Signature Title | TREAS/SEC/VICE PRESIDENT |
| Signature Date | 12/13/2019 |
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