FORM 1023-EZ for SHIELD MAIDENS WHEELCHAIR BASKETBALL

Field Data
EIN 82-3698410
Case Number EO-2019042-000077
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHIELD MAIDENS WHEELCHAIR BASKETBALL
Organization’s Mailing Address 4156 BALDWIN AVENUE
City CULVER CITY
State CA
ZIP 90232-3226
Accounting period End 5
Primary contact name JINNY YANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOLLY BLOOM
CHIEF EXECUTIVE OFFICER
4156 BALDWIN AVENUE
CULVER CITY CA 90232-3226

Officer/Director/Trustee Two

COURTNEY RYAN
CHIEF FINANCIAL OFFICER
4156 BALDWIN AVENUE
CULVER CITY CA 90232-3226

Officer/Director/Trustee Three

MICHELLE JENKINS
SECRETARY
4156 BALDWIN AVENUE
CULVER CITY CA 90232-3226

Officer/Director/Trustee Four

BETTY CRUZ
DIRECTOR
4156 BALDWIN AVENUE
CULVER CITY CA 90232-3226

Officer/Director/Trustee Five

ALICIA IBARRA
DIRECTOR
4156 BALDWIN AVENUE
CULVER CITY CA 90232-3226

Organization’s website WWW.LASHIELDMAIDENS.COM
Organization’s email SHIELDMAIDENS.SOCAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MOLLY BLOOM
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 2/7/19

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