FORM 1023-EZ for 2021 ASSOCIATION

Field Data
EIN 82-1883696
Case Number EO-2018032-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 2021 ASSOCIATION
Organization’s Mailing Address 29 EAST ABBEY ST
City WINTERS
State CA
ZIP 95694-1710
Accounting period End 12
Primary contact name LAURA BOUWENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA BOUWENS
2021 WORTHY GRAND MATRON
29 EAST ABBEY ST
WINTERS CA 95694-1710

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W03 - Professional Societies, Associations
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 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 LAURA BOUWENS
Signature Title 2021 WORTHY GRAND MATRON
Signature Date 1/30/18

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