FORM 1023-EZ for MHS GIRLS BASKETBALL

Field Data
EIN 46-1258611
Case Number EO-2016270-000448
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MHS GIRLS BASKETBALL
Organization’s Mailing Address 15871 SPRINGDALE ST
City HUNTINGTON BEACH
State CA
ZIP 92649
Accounting period End 8
Primary contact name CLIFF SURUKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEIGH FUKUZAWA
PRESIDENT
14302 HACIENDA DR
HUNTINGTON BEACH CA 92647

Officer/Director/Trustee Two

ANDREA LIN
TREASURER
15312 FLINTRIDGE LANE
HUNTINGTON BEACH CA 92647

Officer/Director/Trustee Three

GEORGIA ALVERTOS
SECRETARY
6841 LAURELHURST
HUNTINGTON BEACH CA 92647

Officer/Director/Trustee Four

SAMANTHA BODKIN
VICE PRESIDENT
16608 ALGONQUIN STREET
HUNTINGTON BEACH CA 92649

Organization’s website WWW.MHSGIRLSBASKETBALL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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