FORM 1023-EZ for NORTH BAY ELITE BOOSTER CLUB

Field Data
EIN 82-1465734
Case Number EO-2017193-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH BAY ELITE BOOSTER CLUB
Organization’s Mailing Address 2586 TANZANITE PLACE
City SANTA ROSA
State CA
ZIP 95404
Accounting period End 12
Primary contact name DINA KIRTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DINA KIRTLEY
PRESIDENT
2586 TANZANITE PLACE
SANTA ROSA CA 95404

Officer/Director/Trustee Two

QUETZALI GOMEZ
VICE PRESIDENT
2181 CITRINE WAY
SANTA ROSA CA 95404

Officer/Director/Trustee Three

TERRA REESE
SECRETARY
2154 CHESTER DRIVE
PENNGROVE CA 94951

Officer/Director/Trustee Four

JENNIFER CRUM
TREASURER
3688 ROBLAR RD
PETALUMA CA 94952

Organization’s website
Organization’s email NORTHBAYELITEBOOSTERCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2017
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 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 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
Signature Title
Signature Date

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