FORM 1023-EZ for LASSEN COUNTY TOYS FOR TOTS

Field Data
EIN 81-1537683
Case Number EO-2016109-000079
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LASSEN COUNTY TOYS FOR TOTS
Organization’s Mailing Address PO BOX 171
City SUSANVILLE
State CA
ZIP 96130
Accounting period End 12
Primary contact name ROBERT TRUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT TRUSSELL
CHIEF EXECUTIVE OFFICER
30 S MESA ST
SUSANVILLE CA 96130

Officer/Director/Trustee Two

TERRIE GINDER
TREASURER
476-580 RUSSELL AVE
SUSANVILLE CA 96130

Officer/Director/Trustee Three

DINA MOBERG
SECRETARY
709-930 ALDER ST
SUSANVILLE CA 96130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift 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 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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