FORM 1023-EZ for COMMON GROUND SOCIETY

Field Data
EIN 85-0983422
Case Number EO-2020176-000414
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMON GROUND SOCIETY
Organization’s Mailing Address 327 KIVA PLACE
City SANTA ROSA
State CA
ZIP 95403
Accounting period End 12
Primary contact name DARYL REESE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARKIN OLEARY
DIRECTOR/PRESIDENT
327 KIVA PLACE
SANTA ROSA CA 95403

Officer/Director/Trustee Two

JESSICA HUNTER
DIRECTOR/VICE PRESIDENT
327 KIVA PLACE
SANTA ROSA CA 95403

Officer/Director/Trustee Three

JANA HARRIS
DIRECTOR/TREASURER
327 KIVA PLACE
SANTA ROSA CA 95403

Officer/Director/Trustee Four

KATE WESTRICH
DIRECTOR/SECRETARY
327 KIVA PLACE
SANTA ROSA CA 95403

Officer/Director/Trustee Five

EMILY PARKER
DIRECTOR
327 KIVA PLACE
SANTA ROSA CA 95403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 LARKIN OLEARY
Signature Title DIRECTOR/PRESIDENT
Signature Date 6/22/2020

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