FORM 1023-EZ for LEMOORE HIGH SCHOOL BAND BOOSTERS

Field Data
EIN 77-0466465
Case Number EO-2016118-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEMOORE HIGH SCHOOL BAND BOOSTERS
Organization’s Mailing Address 240 NORTH 12TH AVENUE STE 109 182
City HANFORD
State CA
ZIP 93230
Accounting period End 12
Primary contact name RACHEL CARLSEN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REBECCA CAMARENA
BOARD MEMBER
1555 MORRO LANE
LEMOORE CA 93245

Officer/Director/Trustee Two

DOUGLAS ROBERTSON
BOARD MEMBER
1157 E CINNAMON DRIVE
LEMOORE CA 93245

Officer/Director/Trustee Three

GREG BUSH
BOARD MEMBER
11575 17TH AVENUE
LEMOORE CA 93245

Officer/Director/Trustee Four

DENISE DEAN
BOARD MEMBER
PO BOX 153
ARMONA CA 93202

Officer/Director/Trustee Five

ANNETTE HEMBREE
BOARD MEMBER
521 GREENBRIAR CT
LEMOORE CA 93245

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
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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