FORM 1023-EZ for PETALUMA HIGH AUTO SHOP ENGINEERINGBOOSTERS
| Field | Data |
|---|---|
| EIN | 84-3935436 |
| Case Number | EO-2020034-000526 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PETALUMA HIGH AUTO SHOP ENGINEERINGBOOSTERS |
| Organization’s Mailing Address | 719 MIDDLE TWO ROCK RD |
| City | PETALUMA |
| State | CA |
| ZIP | 94952 |
| Accounting period End | 7 |
| Primary contact name | KENDRA BENSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JESSICA SIMMONS
PRESIDENT
1533 YARBERRY DR
PETALUMA CA 94954
Officer/Director/Trustee Two
STEPHEN BLUME
VICE PRESIDENT
1904 MIDDLE TWO ROCK RD
PETALUMA CA 94952
Officer/Director/Trustee Three
KATHRYN SANTOS
SECRETARY
3288 CHILENO VALLEY RD
PETALUMA CA 94952
Officer/Director/Trustee Four
RICHARD LEMOS
TREASURER
1504 WEAVERLY DR
PETALUMA CA 94954
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2020 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B12 - Fund Raising and/or Fund Distribution |
| 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 | 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 | KATHRYN SANTOS |
| Signature Title | SECRETARY |
| Signature Date | 2/1/2020 |
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