FORM 1023-EZ for MOTHER LODE COMMUNITY RADIO - KAAD-LP

Field Data
EIN 84-4581298
Case Number EO-2020063-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTHER LODE COMMUNITY RADIO - KAAD-LP
Organization’s Mailing Address 16008 HIDDEN VALLEY ROAD
City SONORA
State CA
ZIP 95370
Accounting period End 12
Primary contact name ELLEN STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELLEN STEWART
PRESIDENT
16008 HIDDEN VALLEY ROAD
SONORA CA 95370-9132

Officer/Director/Trustee Two

ARNOLD PUCCINELLI
VICE PRESIDENT
19744 WESTVIEW DRIVE
TWAIN HARTE CA 95383-9639

Officer/Director/Trustee Three

SAMUEL TAYLOR
TREASURER
181 NORTH WASHINGTON ST SUITE A
SONORA CA 95370-4727

Officer/Director/Trustee Four

SUSAN THOMS
SECRETARY
20655 HAIAPO
MIWUK VILLAGE CA 95370-1122

Officer/Director/Trustee Five

DAVID SIMERLEY
DIRECTOR
18116 7TH AVENUE
JAMESTOWN CA 95327-9664

Organization’s website KAAD-LP.ORG
Organization’s email INFO@KAAD-LP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
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 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 ELLEN STEWART
Signature Title PRESIDENT
Signature Date 3/1/2020

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