FORM 1023-EZ for NORTHERN CALIFORNIA BIOLOGICAL SAFETY ASSOCIATION

Field Data
EIN 83-2888981
Case Number EO-2019056-000505
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN CALIFORNIA BIOLOGICAL SAFETY ASSOCIATION
Organization’s Mailing Address 317 UNIVERSITY HALL NUMBER 1150
City BERKELEY
State CA
ZIP 94720
Accounting period End 12
Primary contact name ALLISON LILJEDAHL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLISON LILJEDAHL
PRESIDENT
317 UNIVERSITY HALL NUMBER 1150
BERKELEY CA 94720-1150

Officer/Director/Trustee Two

ELLYN SEGAL
SECRETARY
480 OAK ROAD
STANFORD CA 94305

Officer/Director/Trustee Three

JAMES BAUGH
TREASURER
708 MAIN STREET
WINTERS CA 95694

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 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 No
Correctness Declaration Yes
Signature Name JAMES BAUGH
Signature Title TREASURER
Signature Date 2/22/19

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