FORM 1023-EZ for GOLDEN STATE BALLET FOUNDATION

Field Data
EIN 87-0841342
Case Number EO-2021147-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOLDEN STATE BALLET FOUNDATION
Organization’s Mailing Address 6338 RIVERDALE STREET
City SAN DIEGO
State CA
ZIP 92120
Accounting period End 12
Primary contact name RAUL SALAMANCA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAUL SALAMANCA
DIRECTOR
5421 SIESTA DRIVE
SAN DIEGO CA 92115

Officer/Director/Trustee Two

GLORIA COLBY
DIRECTOR
25 VIA ALTA VISTA
BONSALL CA 92003

Officer/Director/Trustee Three

PATRICIA SIMPSON
DIRECTOR
877 GAGE DRIVE
SAN DIEGO CA 92106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A63 - Ballet
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 RAUL SALAMANCA
Signature Title DIRECTOR
Signature Date 5/25/2021

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