FORM 1023-EZ for GLADSTONE HIGH SCHOOL BAND BOOSTERS

Field Data
EIN 95-3684908
Case Number EO-2017250-000417
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLADSTONE HIGH SCHOOL BAND BOOSTERS
Organization’s Mailing Address PO BOX 461
City AZUSA
State CA
ZIP 91702
Accounting period End 12
Primary contact name EDWARD J ALVAREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANICE MERCURI
PRESIDENT
16616 E TUDOR STREET
COVINA CA 91722

Officer/Director/Trustee Two

TAJ LA RUE
VICE PRESIDENT
5346 N ENID AVENUE
AZUSA CA 91702

Officer/Director/Trustee Three

GEMMA LA RUE
TREASURER
5346 N ENID AVENUE
AZUSA CA 91702

Officer/Director/Trustee Four

DOREEN RUDDER
CO-TREASURER
386 CHERRY HILLS LANE
AZUSA CA 91702

Officer/Director/Trustee Five

ELAINE HARRIS
SECRETARY
205 S OMALLEY AVENUE
AZUSA CA 91702

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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