FORM 1023-EZ for MARK KEPPEL HIGH SCHOOL AQUATICS BOOSTERS

Field Data
EIN 45-4871993
Case Number EO-2015020-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARK KEPPEL HIGH SCHOOL AQUATICS BOOSTERS
Organization’s Mailing Address 1890 VERDE VISTA DRIVE
City MONTEREY PARK
State CA
ZIP 91754
Accounting period End 7
Primary contact name ALEX LY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALEX LY
PRESIDENT
1890 VERDE VISTA DRIVE
MONTEREY PARK CA 91754

Officer/Director/Trustee Two

TANYA GONZALEZ
VICE PRESIDENT
374 S VANCOUVER AVE
LOS ANGELES CA 90022

Officer/Director/Trustee Three

SHARON PIRKLE
TREASURER
1016 FULTON AVE
MONTEREY PARK CA 91755

Officer/Director/Trustee Four

EDLYN TAKAHASHI
SECRETARY
541 JADE TREE DRIVE
MONTEREY PARK CA 91754

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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