FORM 1023-EZ for ALPHA CHARTER ATHLETICS BOOSTER CLUB

Field Data
EIN 83-3036354
Case Number EO-2019039-000443
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALPHA CHARTER ATHLETICS BOOSTER CLUB
Organization’s Mailing Address 6362 HARRINGTON AVE
City ARUBUCKLE
State CA
ZIP 95912
Accounting period End 12
Primary contact name LAURA KLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA KLEY
SECRETARY
6362 HARRINGTON AVE
ARBUCKLE CA 95912

Officer/Director/Trustee Two

RENEE SUMTER
PRESIDENT
803 MORISSETTE WAY
VACAVILLE CA 95687

Officer/Director/Trustee Three

DENISE REYS
VICE PRESIDENT
4328 DON JULIO BLIVD
NORTH HIGHLANDS CA 95660

Officer/Director/Trustee Four

BRENDA ELITZIN
TREASURER
9368 BASKIN CT
ELK GROVE CA 95758

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 BRENDA ELITZIN
Signature Title TREASURER
Signature Date 2/4/19

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