FORM 1023-EZ for NORTH LAGUNA CREEK NEIGHBORHOOD FOUNDATION

Field Data
EIN 81-3927811
Case Number EO-2017011-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH LAGUNA CREEK NEIGHBORHOOD FOUNDATION
Organization’s Mailing Address 7529 SPLENDID WAY
City ELK GROVE
State CA
ZIP 95758
Accounting period End 12
Primary contact name ALLEN BARRON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLEN BARRON
PRESIDENT
7529 SPLENDID WAY
ELK GROVE CA 95758

Officer/Director/Trustee Two

ROMMEL DECLINES
VICE PRESIDENT
7546 WHITMORE STREET
ELK GROVE CA 95758

Officer/Director/Trustee Three

GARY JOHANNSON
VICE PRESIDENT
7 RIVER RAFT COURT
SACRAMENTO CA 95823

Officer/Director/Trustee Four

KEDIBONE LEUBARE
TREASURER
9440 WEST STOCKTON BLVD 129
ELK GROVE CA 95758

Officer/Director/Trustee Five

HENRY HAWTHORNE
SECRETARY
6830 IRON HORSE WAY
SACRAMENTO CA 95823-5916

Organization’s website
Organization’s email MRHAWK52@EARTHLINK.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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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