FORM 1023-EZ for STARBASE

Field Data
EIN 84-3577547
Case Number EO-2020037-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STARBASE
Organization’s Mailing Address 40256 CRESTRIDGE WAY
City PALMDALE
State CA
ZIP 93551
Accounting period End 9
Primary contact name AMIRA FLORES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY NEILSON
OFFICER
42841 11TH STREET WEST UNIT 7
LANCASTER CA 93534

Officer/Director/Trustee Two

MATTHEW WINHEIM
OFFICER
1600 WEST AVENUE K-8 AP B210
LANCASTER CA 93534

Officer/Director/Trustee Three

ARIEL EISHEN
OFFICER
1548 PALO VERDE DRIVE
EDWARDS AFB CA 93523

Officer/Director/Trustee Four

AMIRA FLORES
DIRECTOR
40256 CRESTRIDGE WAY
PALMDALE CA 93551

Organization’s website
Organization’s email STARBASE.EDWARDS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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 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 AMIRA FLORES
Signature Title DIRECTOR
Signature Date 2/4/2020

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