FORM 1023-EZ for ANAHEIM HIGH SCHOOL FOOTBALL BOOSTER CLUB

Field Data
EIN 35-2534380
Case Number EO-2017205-000329
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANAHEIM HIGH SCHOOL FOOTBALL BOOSTER CLUB
Organization’s Mailing Address 118 NORTH KROEGER STREET
City ANAHEIM
State CA
ZIP 92805
Accounting period End 12
Primary contact name KEVIN MORTIMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES OREGEL
PRESIDENT
417 EAST ADELE STREET
ANAHEIM CA 92805

Officer/Director/Trustee Two

CYNTHIA NAVA
VICE PRESIDENT
1805 EAST SANTA ANA STREET
ANAHEIM CA 92805

Officer/Director/Trustee Three

JOE DIAZ
SECRETARY
316 SOUTH EAST STREET
ANAHEIM CA 92805

Officer/Director/Trustee Four

KEVIN MORTIMER
TREASURER
118 NORTH KROEGER STREET
ANAHEIM CA 92805

Officer/Director/Trustee Five

JAMES KARA
MEMBER AT LARGE
1168 NORTH MEDFORD STREET
ANAHEIM CA 92805

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - 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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