FORM 1023-EZ for ANTIOCH BAND BACKERS ASSOCIATION

Field Data
EIN 82-2750821
Case Number EO-2018106-001376
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANTIOCH BAND BACKERS ASSOCIATION
Organization’s Mailing Address 700 W 18TH STREET
City ANTIOCH
State CA
ZIP 94509-1576
Accounting period End 7
Primary contact name LISA BAGWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA BAGWELL
PRESIDENT
66 E 13TH STREET
ANTIOCH CA 94509-1576

Officer/Director/Trustee Two

LISA AMARAL
VICE PRESIDENT
3152 G STREET
ANTIOCH CA 94509-1576

Officer/Director/Trustee Three

LAURA MENDEZ
TREASURER
818 GLOUCESTER STREET
ANTIOCH CA 94509-1576

Officer/Director/Trustee Four

INGRID CHAPMAN
SECRETARY
3009 CHRISSE COURT
ANTIOCH CA 94509-1576

Organization’s website
Organization’s email ANTIOCHBANDBACKERS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/14
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LISA BAGWELL
Signature Title PRESIDENT
Signature Date 4/14/18

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