FORM 1023-EZ for I AM A COCKEYED OPTIMIST ORG INC

Field Data
EIN 47-1578191
Case Number EO-2015026-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name I AM A COCKEYED OPTIMIST ORG INC
Organization’s Mailing Address 16 SERENITY LANE
City LAGUNA NIGUEL
State CA
ZIP 92677-5905
Accounting period End 6
Primary contact name CYNDA ORMSBY-JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CYNDA RENAE ORMSBY-JOHNSON
PRESIDENT, DIRECTOR
16 SERENITY LANE
LAGUNA NIGUEL CA 92677-5905

Officer/Director/Trustee Two

SEAN PIERCE JOHNSON
SECRETARY, DIRECTOR
16 SERENITY LANE
LAGUNA NIGUEL CA 92677-5905

Officer/Director/Trustee Three

STEPHANIE CROFT
TREASURER, DIRECTOR
26401 ALHONDRA PLACE
MISSION VIEJO CA 92691-3348

Officer/Director/Trustee Four

YVETTE STEELE
DIRECTOR
34042 SELVA RD UNIT 144
DANA POINT CA 92629-3724

Officer/Director/Trustee Five

JENIFER SINGER
DIRECTOR
29422 VISTA PLAZA DRIVE
LAGUNA NIGUEL CA 92677-1828

Organization’s website IAMACOCKEYEDOPTIMIST.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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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