FORM 1023-EZ for CHAVEZ INSTITUTE FOR LAW AND SOCIALJUSTICE

Field Data
EIN 47-1965092
Case Number EO-2015141-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAVEZ INSTITUTE FOR LAW AND SOCIALJUSTICE
Organization’s Mailing Address 1300 W BEVERLY BLVD
City MONTEBELLO
State CA
ZIP 90604
Accounting period End 12
Primary contact name PAUL R CHAVEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL R CHAVEZ
DIRECTOR AND PRESIDENT/CEO
1303 SCOSSA AVE
SAN JOSE CA 95128

Officer/Director/Trustee Two

JIM PUETZ
DIRECTOR AND SECRETARY
1303 SCOSSA AVE
SAN JOSE CA 95128

Officer/Director/Trustee Three

FERNANDO F CHAVEZ
CHAIRMAN OF THE BOARD
55 WEST 5TH AVE
SAN MATEO CA 94010

Officer/Director/Trustee Four

DANE FABER
DIRECTOR AND TREASURER
164 SAN CARLOS AVE
SAUSALITO CA 94965

Officer/Director/Trustee Five

GINA M RODRIGUEZ
DIRECTOR AND VICE PRESIDENT
221 N PARK AVE
MONTEBELLO CA 90604

Organization’s website WWW.CHAVEZINSTITUTE.ORG
Organization’s email INFO@CHAVEZINSTITUTE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I99 - Crime, Legal Related N.E.C.
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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