FORM 1023-EZ for TCELITE BOOSTERS

Field Data
EIN 46-4296989
Case Number EO-2021162-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TCELITE BOOSTERS
Organization’s Mailing Address 44B MILL ST
City HEALDSBURG
State CA
ZIP 95448
Accounting period End 4
Primary contact name THEREASA GRAVLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THEREASA GRAVLEY
OFFICER
513 VENEZIA WAY
CLOVERDALE CA 95425

Officer/Director/Trustee Two

JOSE GONZALEZ
DIRECTOR
HAYDON ST
HEALDSBURG CA 95448

Organization’s website
Organization’s email TCELITEGYM@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THEREASA GRAVLEY
Signature Title OFFICER
Signature Date 6/9/2021

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