FORM 1023-EZ for DOLLAR DONATION

Field Data
EIN 84-2560499
Case Number EO-2019263-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOLLAR DONATION
Organization’s Mailing Address 6 PEPPER CREEK DRIVE
City NOVATO
State CA
ZIP 94947
Accounting period End 12
Primary contact name NATHAN DAUPHIN PAINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN PAINE
PRESIDENT/DIRECTOR
6 PEPPER CREEK DRIVE
NOVATO CA 94947

Officer/Director/Trustee Two

MATTHEW SAATCHI
SECRETARY/DIRECTOR
1330 MOUNT PISGAH RD APT A
WALNUT CREEK CA 94596

Officer/Director/Trustee Three

ADAM DONKIN
DIRECTOR
6930 SIR FRANCIS DRAKE BLVD
FOREST KNOLLS CA 94933

Officer/Director/Trustee Four

TOBY SALCICCIA
DIRECTOR
4765 OPAL CLIFFS DRIVE
SANTA CRUZ CA 95062

Officer/Director/Trustee Five

JENEE CRAYNE
DIRECTOR
1638 LA TERRACE CIRCLE
SAN JOSE CA 95123

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
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 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 NATHAN PAINE
Signature Title PRESIDENT/DIRECTOR
Signature Date 9/18/19

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