FORM 1023-EZ for LEONA VALLEY SERTOMA CLUB INC

Field Data
EIN 20-1018692
Case Number EO-2015127-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEONA VALLEY SERTOMA CLUB INC
Organization’s Mailing Address PO BOX 723
City LEONA VALLEY
State CA
ZIP 93551
Accounting period End 6
Primary contact name JUANITA KIRKPATRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEANETTE CLARK
PRESIDENT
40008 92ND ST W
LEONA VALLEY CA 93551-7315

Officer/Director/Trustee Two

CHARLENE MOORE
CHAIRMAN OF THE BOARD
40518 27TH ST W
LEONA VALLEY CA 93551

Officer/Director/Trustee Three

CATHERINE TOSO
SECRETARY
39909 87TH ST W
LEONA VALLEY CA 93551

Officer/Director/Trustee Four

LINDA LORENZ
FIRST VICE PRESIDENT
40014 87TH ST W
LEONA VALLEY CA 93551

Officer/Director/Trustee Five

JUANITA KIRKPATRICK
TREASURER
40011 VALLE VIEW
LEONA VALLEY CA 93551

Organization’s website WWW.LEONAVALLEYSERTOMA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/1997
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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