FORM 1023-EZ for ETNA BEAUTIFICATION PROJECT

Field Data
EIN 83-3389967
Case Number EO-2020297-000728
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ETNA BEAUTIFICATION PROJECT
Organization’s Mailing Address PO BOX 434
City ETNA
State CA
ZIP 96027
Accounting period End 12
Primary contact name KORY HAYDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KORY HAYDEN
PRESIDENT/DIRECTOR
5708 EASTSIDE RD
ETNA CA 96027

Officer/Director/Trustee Two

LEA VANDEWATER
TREASURER/SECRETARY
723 MAIN STREET
ETNA CA 96027

Officer/Director/Trustee Three

JANICE GAYNOR
BOARD MEMBER/DIRECTOR
415 HOWELL AVENUE
ETNA CA 96027

Officer/Director/Trustee Four

MARY KAY HEROLD
BOARD MEMBER/DIRECTOR
404 CHURCH STREET
ETNA CA 96027

Officer/Director/Trustee Five

BETTY JO PIMENTAL GRUBB
BOARD MEMBER
424 PIG ALLEY
ETNA CA 96027

Organization’s website
Organization’s email ETNABEAUTIFICATIONPROJECT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
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 KORY HAYDEN
Signature Title PRESIDENT/DIRECTOR
Signature Date 10/21/2020

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