FORM 1023-EZ for PROTECT OUR BENEFITS TRUST

Field Data
EIN 82-2027884
Case Number EO-2017291-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROTECT OUR BENEFITS TRUST
Organization’s Mailing Address 2435 - 27TH AVENUE
City SAN FRANCISCO
State CA
ZIP 94116-2304
Accounting period End 12
Primary contact name PETER A BAGATELOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FEDERICO SANCHEZ
TRUSTEE/CHAIR/PRESIDENT
2614 ROUNDHILL DRIVE
ALAMO CA 94507-2311

Officer/Director/Trustee Two

GEORGE LAU
TRUSTEE/TREASURER
320 - 23RD AVENUE
SAN FRANCISCO CA 94121-2011

Officer/Director/Trustee Three

LARRY P BARSETTI
TRUSTEE/VICECHAIR/VICEPRESIDENT
2435 - 27TH AVENUE
SAN FRANCISCO CA 94116-2304

Officer/Director/Trustee Four

GRADY ALLISON
TRUSTEE
326 BRAZIL STREET
SAN FRANCISCO CA 94112-2015

Officer/Director/Trustee Five

SHARON JOHNSON
TRUSTEE
101 DIAMOND COVE TERRACE
SAN FRANCISCO CA 94134-3382

Organization’s website N/A
Organization’s email PABLAWYER@AOL.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 Yes
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
Signature Title
Signature Date

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