FORM 1023-EZ for LAKELEE AND THE BLASTOMAS

Field Data
EIN 83-0833313
Case Number EO-2018163-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKELEE AND THE BLASTOMAS
Organization’s Mailing Address 1012 MCCLUNG AVE
City HUNTSVILLE
State AL
ZIP 35801-3112
Accounting period End 12
Primary contact name DOUGLAS K REZABEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS REZABEK
TREASURER
1012 MCCLUNG AVE
HUNTSVILLE AL 35801-3112

Officer/Director/Trustee Two

CHRISTY REZABEK
PRESIDENT
1012 MCCLUNG AVE
HUNTSVILLE AL 35801-3112

Officer/Director/Trustee Three

RACHEL REZABEK
SECRETARY
1012 MCCLUNG AVE
HUNTSVILLE AL 35801-3112

Officer/Director/Trustee Four

REMINGTON LEACH
VICE PRESIDENT
1012 MCCLUNG AVE
HUNTSVILLE AL 35801-3112

Officer/Director/Trustee Five

LAKELEE LEACH
VICE PRESIDENT
1012 MCCLUNG AVE
HUNTSVILLE AL 35801-3112

Organization’s website WWW.LAKELEEANDTHEBLASTOMAS.COM
Organization’s email INFO@LAKELEEANDTHEBLASTOMAS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 DOUGLAS REZABEK
Signature Title TREASURER
Signature Date 6/10/18

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