FORM 1023-EZ for LOST JEEPS SOCAL

Field Data
EIN 83-3653995
Case Number EO-2019095-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOST JEEPS SOCAL
Organization’s Mailing Address 17601 HERCULES ST
City HESPERIA
State CA
ZIP 92345
Accounting period End 4
Primary contact name ANDREW BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK BURCHAM
PRESIDENT
10081 MOJESKA SUMMIT RD
CORONA CA 92883

Officer/Director/Trustee Two

ANNETTE BROWN
TREASURER
17601 HERCULES ST
HESPERIA CA 92345

Officer/Director/Trustee Three

ANDREW BROWN
VICE PRESIDENT
17601 HERCULES ST
HESPERIA CA 92345

Officer/Director/Trustee Four

TAMARA RIVIERA
SECRETARY
17601 HERCULES ST
HESPERIA CA 92345

Officer/Director/Trustee Five

WALLY CRANDALL
EVENT COORDINATOR
17601 HERCULES ST
HESPERIA CA 92345

Organization’s website LOSTJEEPSSOCAL.COM
Organization’s email LOSTJEEPS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/02
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREW BROWN
Signature Title VICE PRESIDENT
Signature Date 4/3/19

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