FORM 1023-EZ for SAN CLEMENTE LIFEGUARD & JUNIOR GUARD FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-4716433 |
| Case Number | EO-2020052-000273 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SAN CLEMENTE LIFEGUARD & JUNIOR GUARD FOUNDATION |
| Organization’s Mailing Address | 620 AVENIDA VICTORIA |
| City | SAN CLEMENTE |
| State | CA |
| ZIP | 92672 |
| Accounting period End | 12 |
| Primary contact name | BRIAN HASKINS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LARRY MOORE
PRESIDENT
2317 CALLE LA SERNA
SAN CLEMENTE CA 92672
Officer/Director/Trustee Two
IAN BURTON
SECRETARY
620 AVENIDA VICTORIA
SAN CLEMENTE CA 92672
Officer/Director/Trustee Three
GREG HULSIZER
VICE PRESIDENT
620 AVENIDA VICTORIA
SAN CLEMENTE CA 92672
Officer/Director/Trustee Four
WILLIAM BLACKWILL
TREASURER
620 AVENIDA VICTORIA
SAN CLEMENTE CA 92672
Officer/Director/Trustee Five
BRIAN HASKINS
BOARD MEMBER
151 AVE BARCELONA
SAN CLEMENTE CA 92672-4245
| Organization’s website | SCLJGFOUNDATION.COM |
|---|---|
| Organization’s email | SCLJGF@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/18/2019 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M12 - Fund Raising and/or Fund Distribution |
| 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 | BRIAN HASKINS |
| Signature Title | BOARD MEMBER |
| Signature Date | 2/19/2020 |
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