FORM 1023-EZ for TBSN

Field Data
EIN 81-4098738
Case Number EO-2016294-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TBSN
Organization’s Mailing Address 708 MIRAMAR DRIVE
City FULLERTON
State CA
ZIP 92831
Accounting period End 12
Primary contact name DARLENE GLASS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW JOE
PRESIDENT
716 MIRAMAR DRIVE
FULLERTON CA 91831

Officer/Director/Trustee Two

MELINDA GAHAHL
TREASURER
607 E SUNNY HILLS ROAD
FULLERTON CA 92835

Officer/Director/Trustee Three

KIRSTIN WINKLER
SECRETARY
708 MIRAMAR DRIVE
FULLERTON CA 92831

Organization’s website
Organization’s email DARLENEGLASS1@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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
Signature Title
Signature Date

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