FORM 1023-EZ for SIERRA FOOTHILLS VILLAGE

Field Data
EIN 38-4028858
Case Number EO-2018017-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIERRA FOOTHILLS VILLAGE
Organization’s Mailing Address PO BOX 1010
City NEVADA CITY
State CA
ZIP 95959-1010
Accounting period End 6
Primary contact name JEANNE CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANNE CLARK
PRESIDENT
PO BOX 7
NEVADA CITY CA 95959-7

Officer/Director/Trustee Two

SCARMON SCARMON
VICE-PRESIDENT
PO BOX 7
NEVADA CITY CA 95959-7

Officer/Director/Trustee Three

SUSIE MONARY-WILSON
SECRETARY
14444 HOMBURG WAY
NEVADA CITY CA 95959-9453

Officer/Director/Trustee Four

LANCE GODDARD
TREASURER
14165 TALKING PINES ROAD
NEVADA CITY CA 95945-9628

Organization’s website WWW.SIERRAFOOTHILLSVILLAGE.ORG
Organization’s email INFO@SIERRAFOOTHILLSVILLAGE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W19 - Nonmonetary Support 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEANNE CLARK
Signature Title PRESIDENT
Signature Date 1/15/18

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