FORM 1023-EZ for NORTHERN CALIFORNIA REGIONAL SANDPLAY SOCIETY

Field Data
EIN 26-3232861
Case Number EO-2014294-000050
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN CALIFORNIA REGIONAL SANDPLAY SOCIETY
Organization’s Mailing Address 1480 LINCOLN AVE NO 12
City SAN RAFAEL
State CA
ZIP 94901-2085
Accounting period End 12
Primary contact name DAVID CAPITOLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELLEN SEARLE-LEBEL
PRESIDENT
745 CHAPMAN CT
ARCATA CA 95521

Officer/Director/Trustee Two

LUANA ROWLAND
SECRETARY
836 EL CAMINO REAL
MOUNTAIN VIEW CA 94040

Officer/Director/Trustee Three

DAVID CAPITOLO
TREASURER
1480 LINCOLN AVE NO 10
SAN RAFAEL CA 94901-2085

Organization’s website NORCALSANDPLAY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2009
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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