FORM 1023-EZ for ATHLETES AGAINST ALS

Field Data
EIN 85-3118310
Case Number EO-2020304-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATHLETES AGAINST ALS
Organization’s Mailing Address 1275 4TH ST NUMBER 5022
City SANTA ROSA
State CA
ZIP 95404-4057
Accounting period End 8
Primary contact name OSIEL MENDOZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OSIEL MENDOZA
PRESIDENT
I40 GOLF COURSE DR APT 129
ROHNERT PARK CA 94928-4901

Officer/Director/Trustee Two

ADRIANNA MENDOZA
VICE PRESIDENT TREASURER
1095 VERANO AVE
SONOMA CA 95476-5313

Officer/Director/Trustee Three

KATIE MENDOZA
SECRETARY
5570 STARBOARD DR
DISCOVERY BAY CA 94505-1226

Officer/Director/Trustee Four

GABRIELLA MENDOZA
DIRECTOR
I40 GOLF COURSE DR APT 129
ROHNERT PARK CA 94928-4901

Officer/Director/Trustee Five

VICTOR MENDOZA
DIRECTOR
1463 WILLCREST DR
CONCORD CA 94521-3008

Organization’s website WWW.TRIPLEALS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - 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 No
Correctness Declaration Yes
Signature Name OSIEL MENDOZA
Signature Title PRESIDENT
Signature Date 10/28/2020

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