FORM 1023-EZ for LANCERS AQUATICS BOOSTER CLUB

Field Data
EIN 61-1764794
Case Number EO-2015190-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LANCERS AQUATICS BOOSTER CLUB
Organization’s Mailing Address 29078 TANGERINE WAY
City LAKE ELSINORE
State CA
ZIP 92530
Accounting period End 6
Primary contact name CRISTINA AGUILAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL AGUILAR
PRESIDENT
30588 VIA LAKISTAS
LAKE ELSINORE CA 92530

Officer/Director/Trustee Two

MICHELE GAGE
VICE PRESIDENT
16506 BANDALONA STREET
LAKE ELSINORE CA 92530

Officer/Director/Trustee Three

GINA DE LA PENA
SECRETARY
174 N TON RANCH RD
LAKE ELSINORE CA 92530

Officer/Director/Trustee Four

ANDREA THEIS
EVENT COORDINATOR
154 S MASSACHUSETTS ST
LAKE ELSINORE CA 92530

Officer/Director/Trustee Five

CRISTINA AGUILAR
TREASURER
PO BOX 1404
LAKE ELSINORE CA 92531-1404

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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