FORM 1023-EZ for LIBERTY HIGH SCHOOL HAWKS BOYS SOCCER BOOSTER CLUB

Field Data
EIN 27-3369457
Case Number EO-2018234-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIBERTY HIGH SCHOOL HAWKS BOYS SOCCER BOOSTER CLUB
Organization’s Mailing Address 37942 ROSEMEAD DR
City MADERA
State CA
ZIP 93636
Accounting period End 12
Primary contact name KENNETH LABENDEIRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW HOWE
CHAIRPERSON
12205 LOREN WAY
MADERA CA 93636

Officer/Director/Trustee Two

SHANE PENNINGTON
VICE CHAIRPERSON
36706 KENNETH AVE
MADERA CA 93636

Officer/Director/Trustee Three

BETZY CARDOZA
SECRETARY
PO BOX 40
O'NEALS CA 93645

Officer/Director/Trustee Four

MARIA RIVERA
TREASURER
37942 ROSEMEAD DR
MADERA CA 93636

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/10
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 Yes
Correctness Declaration Yes
Signature Name MARIA RIVERA
Signature Title TREASURER
Signature Date 8/20/18

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