FORM 1023-EZ for MENDOCINO MERMAIDS

Field Data
EIN 83-3874475
Case Number EO-2019140-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENDOCINO MERMAIDS
Organization’s Mailing Address 32151 ELLISON WAY
City FORT BRAGG
State CA
ZIP 95437
Accounting period End 12
Primary contact name DAVINA MARIE LIBERTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVINA LIBERTY
CEO AND PRESIDENT
32151 ELLISON WAY
FORT BRAGG CA 95437

Officer/Director/Trustee Two

CORBIN VADEN
VICE PRESIDENT
579 SOUTH HARRISON STREET
FORT BRAGG CA 95437

Officer/Director/Trustee Three

PHYLLIS ARREGUIN
CFO AND SECRETARY
17900 CA-1
FORT BRAGG CA 95437

Organization’s website HTTP://WWW.MERMAGICK.COM/MENDOCINO-MERMAIDS
Organization’s email INFO@MERMAGICK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 DAVINA LIBERTY
Signature Title CEO AND PRESIDENT
Signature Date 5/16/19

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