FORM 1023-EZ for FRIENDS OF LEAPS BOUNDS PEDIATRIC THERAPY INC

Field Data
EIN 45-5413548
Case Number EO-2015231-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF LEAPS BOUNDS PEDIATRIC THERAPY INC
Organization’s Mailing Address 2200 HAMNER AVE STE 107
City NORCO
State CA
ZIP 92860
Accounting period End 12
Primary contact name CASSANDRA SANDERS-HOLLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAIME GILLIAM
PRESIDENT
2000 RIMCREST DR
NORCO CA 92860

Officer/Director/Trustee Two

CASSANDRA SANDERS-HOLLY
VICE PRESIDENT
3170 STABLE WAY
NORCO CA 92860

Officer/Director/Trustee Three

SHARON SMITH
DIRECTOR
2790 VALLEY VIEW
NORCO CA 92860

Officer/Director/Trustee Four

MICHELLE STEEL
SECRETARY
3466 SIERRA AVE
NORCO CA 92860

Officer/Director/Trustee Five

ALICIA HEBERT
DIRECTOR
1874 MORFONTAINE WAY
CORONA CA 92883

Organization’s website WWW.LEAPSANDBOUNDSPEDIATRICPT.ORG
Organization’s email INFO@LEAPSANDBOUNDSPEDIATRICPT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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