FORM 1023-EZ for FOUNTAIN VALLEY HIGH SCHOOL GIRLS SOCCER BOOSTER CLUB

Field Data
EIN 33-0264259
Case Number EO-2017144-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUNTAIN VALLEY HIGH SCHOOL GIRLS SOCCER BOOSTER CLUB
Organization’s Mailing Address 17816 BUSHARD STREET
City FOUNTAIN VALLEY
State CA
ZIP 92708
Accounting period End 4
Primary contact name MELISSA LUSE-BOURGAULT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA WITTICK
PRESIDENT
17816 BUSHARD STREET
FOUNTAIN VALLEY CA 92708

Officer/Director/Trustee Two

LAURA GIUNTOLI
VP WAYS MEANS
17816 BUSHARD STREET
FOUNTAIN VALLEY CA 92708

Officer/Director/Trustee Three

CHRIS BALD
VP COMMUNICATIONS
17816 BUSHARD STREET
FOUNTAIN VALLEY CA 92708

Officer/Director/Trustee Four

MELISSA LUSE-BOURGAULT
TREASURER
17816 BUSHARD STREET
FOUNTAIN VALLEY CA 92708

Officer/Director/Trustee Five

CATHY FEDELE
SECRETARY
17816 BUSHARD STREET
FOUNTAIN VALLEY CA 72708

Organization’s website WWW.FVHSGIRLSSOCCER.COM
Organization’s email PRESIDENT@FVHSGIRLSSOCCER.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - 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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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