FORM 1023-EZ for INDIANS SOFTBALL BOOSTER CLUB

Field Data
EIN 26-0060187
Case Number EO-2015071-000110
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIANS SOFTBALL BOOSTER CLUB
Organization’s Mailing Address PO BOX 795
City SUISUN CITY
State CA
ZIP 94585-0795
Accounting period End 1
Primary contact name ERIKA TAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARYN BLUEFORD
PRESIDENT
1742 CAPITOLA WAY
FAIRFIELD CA 94534

Officer/Director/Trustee Two

JANA KALAMARAS
VICE PRESIDENT
1191 MAHOGANY CT
FAIRFIELD CA 94533

Officer/Director/Trustee Three

STACEY JEURIS
SECRETARY
613 IDYLLWILD CT
FAIRFIELD CA 94534

Officer/Director/Trustee Four

ERIKA TAK
TREASURER
828 REDHEAD WY
SUISUN CA 94585

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2015
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: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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