FORM 1023-EZ for LASD POSSE STAFF INC

Field Data
EIN 95-4242462
Case Number EO-2015002-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LASD POSSE STAFF INC
Organization’s Mailing Address 16480 VALLEY RANCH ROAD
City CANYON COUNTRY
State CA
ZIP 91387
Accounting period End 12
Primary contact name GREG KRUTILEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETER BURNSTEIN
PRES
4700 RAMONA BLVD
MONTEREY PARK CA 91754

Officer/Director/Trustee Two

VIC MONROE
SEC/TREAS
4700 RAMONA BLVD
MONTEREY PARK CA 91754

Officer/Director/Trustee Three

GREG KRUTILEK
ASST SEC
16480 VALLEY RANCH ROAD
CANYON COUNTRY CA 91387

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/1990
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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