FORM 1023-EZ for ZANE MUSIC BOOSTERS

Field Data
EIN 84-4310604
Case Number EO-2021116-000582
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZANE MUSIC BOOSTERS
Organization’s Mailing Address 2155 S ST
City EUREKA
State CA
ZIP 95501
Accounting period End 12
Primary contact name DAVID VASILEVICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCIE PENA
PRESIDENT DIRECTOR
204 8TH ST
EUREKA CA 95501

Officer/Director/Trustee Two

DAVID VASILEVICH
TREASURER DIRECTOR
2010 O ST
EUREKA CA 95501

Officer/Director/Trustee Three

CARRIE ONEILL
SECRETARY DIRECTOR
2155 S ST
EUREKA CA 95501

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 DAVID VASILEVICH
Signature Title TREASURER DIRECTOR
Signature Date 4/23/2021

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