FORM 1023-EZ for NEVADA COUNTY ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED

Field Data
EIN 94-2421897
Case Number EO-2018141-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEVADA COUNTY ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED
Organization’s Mailing Address PO BOX 112
City GRASS VALLEY
State CA
ZIP 95945
Accounting period End 12
Primary contact name DANIELLE GRANDQUIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA DEPUE
PRESIDENT
13808 HWY 49
GRASS VALLEY CA 95949

Officer/Director/Trustee Two

JULIE ZUMALT
TREASURER
18136 ALEXANDRA WAY
GRASS VALLEY CA 95949

Officer/Director/Trustee Three

PATRICIA JASKIER
SECRETARY
2680 RIDGE ROAD
GRASS VALLEY CA 95945

Organization’s website NONE
Organization’s email JJZUMWALT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/84
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - 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: 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 JULIE ZUMALT
Signature Title TREASURER
Signature Date 5/16/18

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