FORM 1023-EZ for LANCERS BOYS SOCCER PARENT CLUB

Field Data
EIN 81-3550467
Case Number EO-2017094-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LANCERS BOYS SOCCER PARENT CLUB
Organization’s Mailing Address 4400 BRIERCREST
City LAKEWOOD
State CA
ZIP 90713
Accounting period End 6
Primary contact name CHRISTINA RAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARA WIDMANN-JOHNSON
PRESIDENT
780 TERRAINE
LONG BEACH CA 90804

Officer/Director/Trustee Two

CHRISTINA RAND
VICE PRESIDENT/SECRETARY
4323 CONQUISTA AVE
LAKEWOOD CA 90713

Officer/Director/Trustee Three

JAMES RAND
CFO
4323 CONQUISTA AVE
LAKEWOOD CA 90713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2017
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: No
Religious: No
Educational: Yes
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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