FORM 1023-EZ for LOS ALAMITOS GIRLS TENNIS BOOSTER CLUB

Field Data
EIN 38-3844677
Case Number EO-2015309-000130
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOS ALAMITOS GIRLS TENNIS BOOSTER CLUB
Organization’s Mailing Address C/O GIRLS TENNIS 3591 CERRITOS AVE
City LOS ALAMITOS
State CA
ZIP 90720-2414
Accounting period End 6
Primary contact name MICHAEL A CONGDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL CONGDON
TREASURER
4757 CANDLEBERRY AVE
SEAL BEACH CA 90740-3135

Officer/Director/Trustee Two

GARREN MIZUTANI
CO-PRESIDENT
1306 OCEAN AVE
SEAL BEACH CA 90740-6543

Officer/Director/Trustee Three

ROD DOLES
CO-PRESIDENT
9020 DARTMOUTH WAY
BUENA PARK CA 90620-4630

Officer/Director/Trustee Four

PANDORA BROUMAND
SECRETARY
2732 OAK KNOLL DRIVE
ROSSMOOR CA 90720-4430

Officer/Director/Trustee Five

INDU TERRELL
VICE-PRESIDENT
4325 HAZELNUT AVE
SEAL BEACH CA 90740-2913

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2011
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: Yes
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 No
One Third Support Gifts Yes
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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