FORM 1023-EZ for PAY IT FORWARD HUMBOLDT
| Field | Data |
|---|---|
| EIN | 47-5247321 |
| Case Number | EO-2016225-000064 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PAY IT FORWARD HUMBOLDT |
| Organization’s Mailing Address | 326 I STREET SUITE 148 |
| City | EUREKA |
| State | CA |
| ZIP | 95501 |
| Accounting period End | 7 |
| Primary contact name | DESIRAE HADLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DESIRAE HADLEY
PRESIDENT
326 I STREET SUTIE 148
EUREKA CA 95501
Officer/Director/Trustee Two
SHANNAN ONEAL
VICE PRESIDENT
PO BOX 186
EUREKA CA 95502
Officer/Director/Trustee Three
MARISSA BOURNE
SECRETARY
PO BOX 531
SCOTIA CA 95565
Officer/Director/Trustee Four
PARIA AMBER WALLAN
CHAIR
PO BOX 467
MIRANDA CA 95553
Officer/Director/Trustee Five
SARAH NIETO
CHAIR
1820 THIRD APT 14
EUREKA CA 95501
| Organization’s website | WWW.PAYITFORWARDHUMBOLDT.COM |
|---|---|
| Organization’s email | PAYITFORWARDHUMBOLDT@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/21/2016 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M20 - Disaster Preparedness and Relief Services |
| 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 | Yes |
| 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 | Yes |
| 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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