FORM 1023-EZ for MARIPOSA CNTY DEPUTY SHERIFFS ASSOCPUBLIC SAFETY HARDSHIP

Field Data
EIN 83-4433653
Case Number EO-2019108-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARIPOSA CNTY DEPUTY SHERIFFS ASSOCPUBLIC SAFETY HARDSHIP
Organization’s Mailing Address PO BOX 530
City MARIPOSA
State CA
ZIP 95338-530
Accounting period End 12
Primary contact name MASON WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON STRUM
PRESIDENT
PO BOX 530
MARIPOSA CA 95338-530

Officer/Director/Trustee Two

WESTON CARROLL
VICE PRESIDENT
PO BOX 530
MARIPOSA CA 95538-530

Officer/Director/Trustee Three

JEREMY DAY
SECRETARY
PO BOX 530
MARIPOSA CA 95538-530

Officer/Director/Trustee Four

JENNIFER LOBAUGH
TREASURER
PO BOX 530
MARIPOSA CA 95538-530

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y44 - Voluntary Employees Beneficiary Associations (Government)
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 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 JENNIFER LOBAUGH
Signature Title TREASURER
Signature Date 4/16/19

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