FORM 1023-EZ for ORANGE COUNTY CHILDRENS MUSEUM

Field Data
EIN 80-0938301
Case Number EO-2020301-000066
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ORANGE COUNTY CHILDRENS MUSEUM
Organization’s Mailing Address 17670 LA ROSA LANE
City FOUNTAIN VALLEY
State CA
ZIP 92708
Accounting period End 12
Primary contact name KAYSIE HOLEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAYSIE HOLEMAN
PRESIDENT
17670 LA ROSA LANE
FOUNTAIN VALLEY CA 92708

Officer/Director/Trustee Two

BRIAN ELVIS HOLEMAN
TREASURER
17670 LA ROSA LANE
FOUNTAIN VALLEY CA 92708

Officer/Director/Trustee Three

MERRILYN THOMPSON
SECRETARY
2579 BAHIA HERMOSA
LAKE HAVASU CITY CA 92708

Officer/Director/Trustee Four

BRITTANY VELASCO
DIRECTOR
4136 CORAL REEF
LAKE HAVASU CITY CA 92708

Officer/Director/Trustee Five

BRIAN ELVIS HOLEMAN
DIRECTOR
17670 LA ROSA LANE
FOUNTAIN VALLEY CA 92708

Organization’s website WWW.GVNEIGHBORS.COM
Organization’s email kholeman19@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A52 - Children's Museums
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KAYSIE HOLEMAN
Signature Title PRESIDENT
Signature Date 10/25/2020

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