FORM 1023-EZ for NATIONAL CHARITY LEAGUE INC BEACHSIDE CHAPTER

Field Data
EIN 47-5033626
Case Number EO-2015282-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL CHARITY LEAGUE INC BEACHSIDE CHAPTER
Organization’s Mailing Address 214 MAIN STREET SUITE 487
City EL SEGUNDO
State CA
ZIP 90245
Accounting period End 12
Primary contact name LORI DALLAVO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN GARIPAY
PRESIDENT
515 WEST FRANKLIN AVENUE SUITE A
EL SEGUNDO CA 90245

Officer/Director/Trustee Two

LORI DALLAVO
TREASURER
420 CALIFORNIA STREET
EL SEGUNDO CA 90245

Officer/Director/Trustee Three

GRACE PAK
MEMBERSHIP
8408 HOLY CROSS PLACE
LOS ANGELES CA 90045

Officer/Director/Trustee Four

JESSICA LUBS
SECRETARY
805 LOMITA STREET
EL SEGUNDO CA 90245

Officer/Director/Trustee Five

KIM THOMAN
PARLIAMENTARIAN
1213 EAST MAPLE AVE
EL SEGUNDO CA 90245

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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
Signature Title
Signature Date

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