FORM 1023-EZ for GOD SQUAD AA

Field Data
EIN 47-4238744
Case Number EO-2015205-000386
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOD SQUAD AA
Organization’s Mailing Address 650 MADRONE AVE
City CHICO
State CA
ZIP 95926
Accounting period End 12
Primary contact name DAVID MATSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELE VANDERJACK
TREASURER
650 MADRONE AVE
CHICO CA 95926

Officer/Director/Trustee Two

CRAIG BILSBOROUGH
CEO
825 BROOKWOOD WAY
CHICO CA 95926

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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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