FORM 1023-EZ for ADVANCED SCIENCE EXPLORATORY PROGRAM

Field Data
EIN 84-3082180
Case Number EO-2020086-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADVANCED SCIENCE EXPLORATORY PROGRAM
Organization’s Mailing Address 708 COTTONWOOD AVE
City SOUTH SAN FRANCISCO
State CA
ZIP 94080
Accounting period End 12
Primary contact name CHRISTINE WALSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMARIN ROLLE
PRESIDENT, CEO, CHAIRPERSON
4 ANDREAS COURT
NOVATO CA 94945

Officer/Director/Trustee Two

WILLIAM OGORMAN
TREASURER
708 COTTONWOOD AVE
SOUTH SAN FRANCISCO CA 94080

Officer/Director/Trustee Three

CHRISTINE WALSH
COO, SECRETARY
708 COTTONWOOD AVE
SOUTH SAN FRANCISCO CA 94080

Officer/Director/Trustee Four

THEODORE ZANTO
BOARD MEMBER
4984 PHILLIP CREEK LN
SUGAR HILL GA 30518

Officer/Director/Trustee Five

TREVOR CAUDLE
BOARD MEMBER
1070 SUSAN WAY
SUNNYVALE CA 94087

Organization’s website
Organization’s email QUINNWALSH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 Yes
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 CAMARIN ROLLE
Signature Title PRESIDENT, CEO, CHAIRPERSON
Signature Date 3/24/2020

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