FORM 1023-EZ for COVINA LIONS BREAKFAST CLUB FOUNDATION

Field Data
EIN 47-1495570
Case Number EO-2014265-000315
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COVINA LIONS BREAKFAST CLUB FOUNDATION
Organization’s Mailing Address 216 S CITRUS ST 275
City WEST COVINA
State CA
ZIP 91791-2144
Accounting period End 6
Primary contact name DAVID LANDESMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOLANDA CHRISTIANSEN
DIRECTOR
1417 E WANAMAKER DR
COVINA CA 91724-2941

Officer/Director/Trustee Two

GILBERT RAMIREZ
DIRECTOR
247 N LARK ELEEN
WEST COVINA CA 91791-1351

Officer/Director/Trustee Three

KAY ECKERT
SECRETARY
2498 E KINGS CREST
WEST COVINA CA 91791

Officer/Director/Trustee Four

ERIC PENA
PRESIDENT
351 TATE AVE
GLENDORA CA 91741-3563

Officer/Director/Trustee Five

DAVID LANDESMAN
TREASURER
1326 N VICEROY AVE
COVINA CA 91722-1637

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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