FORM 1023-EZ for MALIBU LAKESIDE COMMUNITY ASSOCIATION

Field Data
EIN 47-3525344
Case Number EO-2015091-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MALIBU LAKESIDE COMMUNITY ASSOCIATION
Organization’s Mailing Address 1755 LOOKOUT DRIVE
City AGOURA
State CA
ZIP 91301
Accounting period End 2
Primary contact name DEBBIE LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA HENKEL
PRESIDENT BOARD MEMBER
1755 LOOKOUT DRIVE
AGOURA CA 91301

Officer/Director/Trustee Two

SCOTT BILLINGSLEY
VICE PRESIDENT BOARD MEMBER
1820 LOOKOUT DRIVE
AGOURA CA 91301

Officer/Director/Trustee Three

DEBBIE LARSON
SECRETARY BOARD MEMBER
28930 CRAGS DRIVE
AGOURA CA 91301

Officer/Director/Trustee Four

KEITH LARSON
TREASURER BOARD MEMBER
28930 CRAGS DRIVE
AGOURA CA 91301

Organization’s website WWW.MALIBULAKESIDE.ORG
Organization’s email MALIBULAKESIDE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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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