FORM 1023-EZ for GROVER CLEVELAND CHARTER H S BAND BOOSTER CLUB

Field Data
EIN 81-5442896
Case Number EO-2017067-000429
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GROVER CLEVELAND CHARTER H S BAND BOOSTER CLUB
Organization’s Mailing Address 15545 DEVONSHIRE ST SUITE 210
City MISSION HILLS
State CA
ZIP 91345
Accounting period End 6
Primary contact name JUDITH FRIEDMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDITH FRIEDMAN
PRESIDENT
8140 VANALDEN AVENUE
RESEDA CA 91335-1136

Officer/Director/Trustee Two

JOSH MARK
VICE PRESIDENT
8140 VANALDEN AVENUE
RESEDA CA 91335-1136

Officer/Director/Trustee Three

HEIDI MARK
TREASURER
8140 VANALDEN AVENUE
RESEDA CA 91335-1136

Officer/Director/Trustee Four

RAQUEL MENDONCA
SECRETARY
8140 VANALDEN AVENUE
RESEDA CA 91335-1136

Officer/Director/Trustee Five

DAVID FRIEDMAN
FUNDRAISING VP
8140 VANALDEN AVENUE
RESEDA CA 91335-1136

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
Organization’s purpose Charitable: Yes
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 Yes
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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