FORM 1023-EZ for LONG BEACH FOUNDATION

Field Data
EIN 85-3153561
Case Number EO-2020281-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LONG BEACH FOUNDATION
Organization’s Mailing Address PO BOX 736
City LONG BEACH
State WA
ZIP 98631
Accounting period End 12
Primary contact name KARLA JENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARLA JENSEN
DIRECTOR
PO BOX 736
LONG BEACH WA 98631

Officer/Director/Trustee Two

CAROL REANDEAU
DIRECTOR
101 17TH ST NE
LONG BEACH WA 98631

Officer/Director/Trustee Three

TINA ELM
DIRECTOR
23903 L LN
OCEAN PARK WA 98640

Officer/Director/Trustee Four

WENDY MURRY
DIRECTOR
319 9TH NORTH
LONG BEACH WA 98631

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (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 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 KARLA JENSEN
Signature Title DIRECTOR
Signature Date 10/3/2020

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