FORM 1023-EZ for I5 SUPERSONICS FOUNDATION INC

Field Data
EIN 83-1904195
Case Number EO-2019297-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I5 SUPERSONICS FOUNDATION INC
Organization’s Mailing Address 22091 BARRINGTON WAY
City SANTA CLARITA
State CA
ZIP 91350
Accounting period End 12
Primary contact name JENNA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA DEAN
PRESIDENT
23410 MAPLE ST
NEWHALL CA 91321

Officer/Director/Trustee Two

REBECCA MCDONALD
VICE PRESIDENT
24324 LORENZO LANE
VALENCIA CA 91355

Officer/Director/Trustee Three

DAN BUCHANUN
SECRETARY
15717 ACIA CT
CANYON COUNTRY CA 91387

Officer/Director/Trustee Four

JENNA WILLIAMS
TRESURER
22091 BARRINGTON WAY
SANTA CLARITA CA 91350

Officer/Director/Trustee Five

DESMOND CARTER
DIRECTOR OF ATHLETICS
25399 THE OLD ROAD 1-204
STEVENSON RANCH CA 91381

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNA WILLIAMS
Signature Title TRESURER
Signature Date 10/19/19

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