FORM 1023-EZ for YOSEMITE BLAZE

Field Data
EIN 81-1111697
Case Number EO-2017068-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOSEMITE BLAZE
Organization’s Mailing Address 32134 SUNSET RIDGE RD W
City COARSEGOLD
State CA
ZIP 93614
Accounting period End 12
Primary contact name TAMARA FRANKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMARA FRANKE
PRESIDENT
32134 SUNSET RIDGE RD W
COARSEGOLD CA 93614

Officer/Director/Trustee Two

TERI BLEA
VICE PRESIDENT
PO BOX 3207
OAKHURST CA 93644

Officer/Director/Trustee Three

KELLY MATTHEWSON
SECRETARY
40055 HILLSBOROUGH LOOP
OAKHURST CA 93644

Officer/Director/Trustee Four

CAROLINE GAUTHIER
TREASURER
40897 HIGHWAY 49
OAKHURST CA 93644

Organization’s website
Organization’s email YOSEMITEBLAZE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O23 - Boys and Girls Clubs (Combined)
Organization’s purpose Charitable: Yes
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 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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