FORM 1023-EZ for ERHS LACROSSE BOOSTER

Field Data
EIN 83-0963473
Case Number EO-2018174-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ERHS LACROSSE BOOSTER
Organization’s Mailing Address 6864 OLD PEAK LN
City EASTVALE
State CA
ZIP 92880
Accounting period End 12
Primary contact name JOSH BLADH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSH BLADH
PRESIDENT
6864 OLD PEAK LN
EASTVALE CA 92880

Officer/Director/Trustee Two

MATT SAGE
VICE PRESIDENT
7054 BARWICK CT
EASTVALE CA 92880

Officer/Director/Trustee Three

AMBER SAGE
SECRETARY
7054 BARWICK CT
EASTVALE CA 92880

Officer/Director/Trustee Four

ERIKA BLADH
TREASURER
6864 OLD PEAK LN
EASTVALE CA 92880

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/18
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: Yes
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 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 JOSH BLADH
Signature Title PRESIDENT
Signature Date 6/20/18

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