FORM 1023-EZ for HUNTINGTON STATE BEACH JUNIOR LIFEGUARD ASSOCIATIONS

Field Data
EIN 56-2650780
Case Number EO-2015307-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUNTINGTON STATE BEACH JUNIOR LIFEGUARD ASSOCIATIONS
Organization’s Mailing Address 21601 PACIFIC COAST HIGHWAY
City HUNTINGTON BEACH
State CA
ZIP 92646-7600
Accounting period End 12
Primary contact name LAUREN HAVERLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAI WEISSER
PRESIDENT
21601 PACIFIC COAST HIGHWAY
HUNTINGTON BEACH CA 92646-7600

Officer/Director/Trustee Two

ERIC BAUER
VICE PRESIDENT
21601 PACIFIC COAST HIGHWAY
HUNTINGTON BEACH CA 92646-7600

Officer/Director/Trustee Three

ELIZABETH PEARSON
TREASURER
21601 PACIFIC COAST HIGHWAY
HUNTINGTON BEACH CA 92646-7600

Officer/Director/Trustee Four

LEE GRAHAM
SECRETARY
21601 PACIFIC COAST HIGHWAY
HUNTINGTON BEACH CA 92646-7600

Officer/Director/Trustee Five

JOSE DE LA JARA
DIRECTOR
21601 PACIFIC COAST HIGHWAY
HUNTINGTON BEACH CA 92646-7600

Organization’s website HTTP://HSBJG.COM/HUNTINGTONSTATEBEACH/
Organization’s email REGAN@PARKS.CA.GOV
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2007
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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