FORM 1023-EZ for MALIBU COAST SURF LIFESAVING ASSOCIATION

Field Data
EIN 82-1598947
Case Number EO-2021152-000414
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MALIBU COAST SURF LIFESAVING ASSOCIATION
Organization’s Mailing Address 1009 WINFIELD ST
City NEWBURY PARK
State CA
ZIP 91320
Accounting period End 12
Primary contact name DAVID HABIB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID HABIB
FOUNDER SECRETARY
1009 WINFIELD ST
NEWBURY PARK CA 91320

Officer/Director/Trustee Two

KELLY SMYTH
CFO
1009 WINFIELD ST
NEWBURY PARK CA 91320

Officer/Director/Trustee Three

DREW REYES
PRESIDENT
1009 WINFIELD ST
NEWBURY PARK CA 91320

Organization’s website WWW.MCSLA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M41 - First Aid Training, Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID HABIB
Signature Title FOUNDER SECRETARY
Signature Date 5/27/2021
EIN 82-1598947
Case Number EO-2017150-000130
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MALIBU COAST SURF LIFESAVING ASSOCIATION
Organization’s Mailing Address 1009 WINFIELD ST
City NEWBURY PARK
State CA
ZIP 91320
Accounting period End 12
Primary contact name MARTIN J TRUPIANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID HABIB
PRESIDENT
1009 WINFIELD ST
NEWBURY PARK CA 91320

Officer/Director/Trustee Two

JAMES PAGE
SECRETARY
1009 WINFIELD ST
NEWBURY PARK CA 91320

Officer/Director/Trustee Three

KELLY SMYTH
TREASURER
1009 WINFIELD ST
NEWBURY PARK CA 91320

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M41 - First Aid Training, Services
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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