FORM 1023-EZ for ATWATER HIGH SCHOOL ALUMNI ASSOCIATION

Field Data
EIN 82-2320646
Case Number EO-2017250-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ATWATER HIGH SCHOOL ALUMNI ASSOCIATION
Organization’s Mailing Address 4433 CLARK AVE
City LONG BEACH
State CA
ZIP 90808
Accounting period End 12
Primary contact name JAMES CROTTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN RASMUSSEN
PRESIDENT
106 LAUREL
ATWATER CA 95301

Officer/Director/Trustee Two

WAYNE- VAN WAGNER
VICE-PRESIDENT
586 PEPPERTREE
WINDSOR CA 95492

Officer/Director/Trustee Three

KEITH MCINTIRE
SECRETARY
138 W 28TH
MERCED CA 95340

Officer/Director/Trustee Four

JAMES CROTTS
CHIEF FINANCIAL OFFICER
4433 CLARK AVE
LONG BEACH CA 90808

Organization’s website
Organization’s email ATWATERALUMNI@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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