FORM 1023-EZ for AAY HOME INCARCERATION TO COMMUNITY

Field Data
EIN 45-1191800
Case Number EO-2014234-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AAY HOME INCARCERATION TO COMMUNITY
Organization’s Mailing Address 14440 SEA BISCUIT COURT
City REDDING
State CA
ZIP 96003-9407
Accounting period End 12
Primary contact name MATTHEW GIRI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW GIRI
PRESIDENT
14440 SEA BISCUIT COURT
REDDING CA 96003-9407

Officer/Director/Trustee Two

DONNA COSTA
TREASURER
14440 SEA BISCUIT COURT
REDDING CA 96003-9407

Officer/Director/Trustee Three

ARVIND PAI
DIRECTOR
14440 SEA BISCUIT COURT
REDDING CA 96003-9407

Officer/Director/Trustee Four

KATHY MANLY
SECRETARY
14440 SEA BISCUIT COURT
REDDING CA 96003-9407

Officer/Director/Trustee Five

PAMELA GALVAN
DIRECTOR
14440 SEA BISCUIT COURT
REDDING CA 96003-9407

Organization’s website AAYHOME
Organization’s email MATTHEWGIRI@AAYHOME.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2011
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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