FORM 1023-EZ for INTENSITY CHEER BOOSTERS CLUB

Field Data
EIN 86-3972711
Case Number EO-2021175-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTENSITY CHEER BOOSTERS CLUB
Organization’s Mailing Address 548 REDWOOD AVE
City UKIAH
State CA
ZIP 95482
Accounting period End 5
Primary contact name NATALIE SHEPARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATALIE SHEPARD
PRESIDENT
548 REDWOOD AVE
UKIAH CA 95482-5644

Officer/Director/Trustee Two

KRISTY LEON
VICE PRESIDENT
700 S OAK ST
UKIAH CA 95482-5408

Officer/Director/Trustee Three

RACHEL VITORELO
SECRETARY
26720 ORIOLE DR
WILLITS CA 95490-9409

Officer/Director/Trustee Four

KRISTIN DUKE
TREASURER
13741 OLD RIVER ROAD
HOPLAND CA 95449

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
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 NATALIE SHEPARD
Signature Title PRESIDENT
Signature Date 6/22/2021

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