FORM 1023-EZ for WESTSIDE DRAGONS PARENT BOOSTER CLUB

Field Data
EIN 84-3427575
Case Number EO-2019296-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTSIDE DRAGONS PARENT BOOSTER CLUB
Organization’s Mailing Address 82225 AIRPORT BLVD
City THERMAL
State CA
ZIP 92274
Accounting period End 6
Primary contact name ROSAMARIE BUSTAMANTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRACIELA BUSTAMANTE
PRESIDENT
84460
COACHELLA CA 92236

Officer/Director/Trustee Two

LILY ZAMORA
VICE PRESIDENT
50133 SAN CAPISTRANO WAY
COACHELLA CA 92236

Officer/Director/Trustee Three

ROSAMARIE BUSTAMANTE
TREASURER
81875 AVENUE 48 APT 125
INDIO CA 92201

Officer/Director/Trustee Four

LORIE ROBLEDO
SECRETARY
83390 LAHINCH CT
INDIO CA 92203

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 ROSAMARIE BUSTAMANTE
Signature Title TREASURER
Signature Date 10/21/19

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