FORM 1023-EZ for LAKEWOOD GIRLS AQUATICS BOOSTER CLUB

Field Data
EIN 81-5465933
Case Number EO-2018253-000480
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKEWOOD GIRLS AQUATICS BOOSTER CLUB
Organization’s Mailing Address 4400 BRIERCREST AVE
City LAKEWOOD
State CA
ZIP 90712
Accounting period End 6
Primary contact name DAWN EICHERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN EICHERT
PRESIDENT
4357 PARAMOUNT BLVD
LAKEWOOD CA 90712

Officer/Director/Trustee Two

LISA YARAK
SECRETARY
4752 OCANA AVE
LAKEWOOD CA 90713

Officer/Director/Trustee Three

TAWNYA WRIGHT
TREASURER
1200 GAVIOTA AVE UNIT 315
LONG BEACH CA 90813

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/17
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: 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 DAWN EICHERT
Signature Title PRESIDENT
Signature Date 9/7/18

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