FORM 1023-EZ for MOUNTAIN VALLEY PARENTS CLUB

Field Data
EIN 82-2724687
Case Number EO-2019338-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAIN VALLEY PARENTS CLUB
Organization’s Mailing Address 546 LAWRENCE ST
City QUINCY
State CA
ZIP 95971
Accounting period End 6
Primary contact name KARISA JOSEPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARISA JOSEPH
PRESIDENT
1040 WILLIAMS VALLEY RD
GREENVILLE CA 95947

Officer/Director/Trustee Two

MARY HENNESSEY
TREASURER
2553 CLARK CREEK RD
QUINCY CA 95971

Officer/Director/Trustee Three

AMANDA FULLERTON
SECRETARY
2435 E MAIN STREET
QUINCY CA 95971

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 KARISA JOSEPH
Signature Title PRESIDENT
Signature Date 12/2/19

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