FORM 1023-EZ for LA VERNE COMMUNITY EMERGENCY RESPONSE TEAM
| Field | Data |
|---|---|
| EIN | 82-2254661 |
| Case Number | EO-2018319-000150 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LA VERNE COMMUNITY EMERGENCY RESPONSE TEAM |
| Organization’s Mailing Address | 2061 THIRD STREET |
| City | LA VERNE |
| State | CA |
| ZIP | 91750 |
| Accounting period End | 12 |
| Primary contact name | KIM GUSTAFSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KIMBERLY GUSTAFSON
FINANCIAL OFFICER
1764 KENDRICK DR
LA VERNE CA 91750
Officer/Director/Trustee Two
JENNIFER KESTERSON
PROGRAM MANAGER
1261 OAK MESA DR
LA VERNE CA 91750
Officer/Director/Trustee Three
KEITH REEVES
DEPUTY PROGRAM MANAGER
2811 PINELAND AVE
LA VERNE CA 91750
Officer/Director/Trustee Four
CYNTHIA GABALDON
RECORDING OFFICER
2529 AMHERST ST
LA VERNE CA 91750
Officer/Director/Trustee Five
ROBERT PEREZ
TRAINING OFFICER
2750 LAURIE LANE
LA VERNE CA 91750
| Organization’s website | LAVERNECERT.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/22/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M20 - Disaster Preparedness and Relief Services |
| Organization’s purpose | Charitable: No 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 | 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 | KIMBERLY GUSTAFSON |
| Signature Title | FINANCIAL OFFICER |
| Signature Date | 11/13/18 |
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