FORM 1023-EZ for MBCDT

Field Data
EIN 84-4241965
Case Number EO-2020014-000085
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MBCDT
Organization’s Mailing Address 9633 BELLA VISTA DR
City MORONGO VALLEY
State CA
ZIP 92256
Accounting period End 12
Primary contact name RACHEL L ROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL ROSS
VICE PRESIDENT
9633
MORONGO VALLEY CA 92256

Officer/Director/Trustee Two

SHANNON LAMEROUX
PRESIDENT
55816 TWENTYNINE PALMS HWY
YUCCA VALLEY CA 92284

Officer/Director/Trustee Three

CASEY KEEPERS
SECRETARY
55816 TWENTYNINE PALMS HWY
YUCCA VALLEY CA 92284

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - 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 Yes
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 RACHEL ROSS
Signature Title VICE PRESIDENT
Signature Date 1/10/2020

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