FORM 1023-EZ for NORTH LAGUNA CREEK VALLEY HI COMMUNITY ASSCIATION

Field Data
EIN 83-1038403
Case Number EO-2018267-000370
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH LAGUNA CREEK VALLEY HI COMMUNITY ASSCIATION
Organization’s Mailing Address 5101 ACCRINGTON WAY
City SACRAMENTO
State CA
ZIP 95823-7305
Accounting period End 12
Primary contact name RHONDA HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RHONDA HENDERSON
PRESIDENT
5101 ACCRINGTON WAY
SACRAMENTO CA 95823-7305

Officer/Director/Trustee Two

EDWARD HENDERSON
MEMBER
5101 ACCRINGTON WAY
SACRAMENTO CA 95823-7305

Officer/Director/Trustee Three

THERESA ROBINSON
VICE PRESIDENT
5371 MUSKINGHAM WAY
SACRAMENTO CA 95823-7305

Officer/Director/Trustee Four

KAREN JANG
SECRETARY
5371 MUSKINGHAM WAY
SACRAMENTO CA 95823-7305

Officer/Director/Trustee Five

WILLA RILEY
TREASURER
5101 ACCRINGTON WAY
SACRAMENTO CA 95823-7305

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RHONDA HENDERSON
Signature Title PRESIDENT
Signature Date 9/21/18

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