FORM 1023-EZ for CVHS FALCON FOOTBALL BOOSTERS

Field Data
EIN 81-4213091
Case Number EO-2016307-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CVHS FALCON FOOTBALL BOOSTERS
Organization’s Mailing Address 2550 HONOLULU AVE SUITE 207
City MONTROSE
State CA
ZIP 91020
Accounting period End 5
Primary contact name MARK MCNELIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY BALDWIN
PRESIDENT
2900 COMMUNITY AVE
LA CRESCENTA CA 91214

Officer/Director/Trustee Two

KIMBERLY LARIN
VICE PRESIDENT
2900 COMMUNITY AVE
LA CRESCENTA CA 91214

Officer/Director/Trustee Three

STEVE NORKUS
TREASURER
2900 COMMONWEALTH
LA CRESCENTA CA 91214

Officer/Director/Trustee Four

MARK MCNELIS
CPA
2550 HONOLULU AVE SUITE 207
MONTROSE CA 91020

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K11 - 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 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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