FORM 1023-EZ for 3NDLESS 3ARTH 3COVILLAGE

Field Data
EIN 84-4517838
Case Number EO-2021117-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 3NDLESS 3ARTH 3COVILLAGE
Organization’s Mailing Address 4875 INDEPENDENCE RD
City MOKELUMNE HILL
State CA
ZIP 95245
Accounting period End 12
Primary contact name SAMANTHA IACOBELLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH ENDERLEIN
PRESIDENT
4875 INDEPENDENCE RD
MOKELUMNE HILL CA 95245

Officer/Director/Trustee Two

SAMANTHA IACOBELLO
SECRETARY
4875 INDEPENDENCE RD
MOKELUMNE HILL CA 95245

Officer/Director/Trustee Three

CURT HARDACRE
TREASURER
4875 INDEPENDENCE RD
MOKELUMNE HILL CA 95245

Organization’s website 333VILLAGE.ORG
Organization’s email 3NDLESS3ARTH3COVILLAGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 SAMANTHA IACOBELLO
Signature Title SECRETARY
Signature Date 4/26/2021

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