FORM 1023-EZ for GRIZZLY BOYS BASKETBALL BOOSTER CLUB

Field Data
EIN 47-4905452
Case Number EO-2015272-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRIZZLY BOYS BASKETBALL BOOSTER CLUB
Organization’s Mailing Address 4460 W SHAW AVE PO NUMBER 333
City FRESNHO
State CA
ZIP 93722
Accounting period End 6
Primary contact name TAMARA EPPERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHANDRA BEAN
PRESIDENT
5361 W PINE AVE
FRESNO CA 93722

Officer/Director/Trustee Two

MARY LALLY-DEALBA
VICE PRESIDENT
5796 W ROBINSON
FRESNO CA 93722

Officer/Director/Trustee Three

TAMARA EPPERSON
TREASURER
5653 W FLORADORA
FRESNO CA 93722

Officer/Director/Trustee Four

CANDIS BAZLEY
SECRETARY
4169 N LEAWOOD
FRESNO CA 93722

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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