FORM 1023-EZ for BEAR RIVER SAFE AND SOBER GRAD NIGHT
| Field | Data |
|---|---|
| EIN | 84-2841932 |
| Case Number | EO-2019240-000134 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BEAR RIVER SAFE AND SOBER GRAD NIGHT |
| Organization’s Mailing Address | 10615 CANYON CREEK LANE |
| City | PENN VALLEY |
| State | CA |
| ZIP | 95946 |
| Accounting period End | 7 |
| Primary contact name | JULIE SIEGENTHALER - SECRETARY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRADLEY JEFFERS
PRESIDENT
14200 PINE HILL CT
GRASS VALLEY CA 95949
Officer/Director/Trustee Two
ALISA JOHNSON
VICE PRESIDENT
11557 LOWER CIRCLE CT
GRASS VALLEY CA 95949
Officer/Director/Trustee Three
JULIE SIEGENTHALER
SECRETARY
10615 CANYON CREEK LANE
PENN VALLEY CA 95946
Officer/Director/Trustee Four
STEPHANIE TAN
TREASURER
11233 REDHAWK CT
AUBURN CA 95602
Officer/Director/Trustee Five
DEAN DARR
DIRECTOR
17031 ALEXANDRA WAY
GRASS VALLEY CA 95949
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/1/19 |
| 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: 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 | 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 | JULIE SIEGENTHALER |
| Signature Title | SECRETARY |
| Signature Date | 8/26/19 |
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