FORM 1023-EZ for WILLOWS MUSIC BOOSTERS

Field Data
EIN 27-1599438
Case Number EO-2017095-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLOWS MUSIC BOOSTERS
Organization’s Mailing Address PO BOX 251
City WILLOWS
State CA
ZIP 95988
Accounting period End 12
Primary contact name LARRY DOMENIGHINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY DOMENIGHINI
PRESIDENT
606 EAST WALNUT STREET
WILLOWS CA 95988

Officer/Director/Trustee Two

NATALIE WOLDER
VICE PRESIDENT
1030 GREEN STREET
WILLOWS CA 95988

Officer/Director/Trustee Three

ADELE FOLEY
SECRETARY
505 EAST SYCAMORE STREET
WILLOWS CA 95988

Officer/Director/Trustee Four

SHIANNE OSA
TREASURER
5727 HIGHWAY 162
WILLOWS CA 95988

Officer/Director/Trustee Five

YOLANDA LEDERER
PUBLICITY OFFICER
876 FIRST AVENUE
WILLOWS CA 95988

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 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
Signature Title
Signature Date

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