FORM 1023-EZ for SERRA CLUB OF HEMET VALLEY

Field Data
EIN 56-2285716
Case Number EO-2020210-000345
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERRA CLUB OF HEMET VALLEY
Organization’s Mailing Address 333 WEST WACKER DRIVE SUITE 500
City CHICAGO
State IL
ZIP 60606-1226
Accounting period End 5
Primary contact name ROBERT CAMPNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT CAMPNEY
TRUSTEE
15918 PATRICK AVE
OMAHA NE 68116

Officer/Director/Trustee Two

RAMONA PRATHER
PRESIDENT
27606 TYLER AVE
MENIFEE CA 92585

Officer/Director/Trustee Three

ELOISE SANABRIA
VP
23480 MOUNTAIN AVE
PERRIS CA 92570

Officer/Director/Trustee Four

MARIE TRAVERS
SECRETARY
1759 SKYVIEW
HEMET CA 92545

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2003
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
Correctness Declaration Yes
Signature Name ROBERT CAMPNEY
Signature Title TRUSTEE
Signature Date 7/23/2020

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