FORM 1023-EZ for PLUS ULTRA ROBOTICS

Field Data
EIN 84-1979364
Case Number EO-2019157-000421
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLUS ULTRA ROBOTICS
Organization’s Mailing Address 1252 BUENA VISTA AVENUE
City PACIFIC GROVE
State CA
ZIP 93950
Accounting period End 12
Primary contact name MATTHEW LUSSIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW LUSSIER
CEO
1252 BUENA VISTA AVENUE
PACIFIC GROVE CA 93950

Officer/Director/Trustee Two

MARK LUSSIER
COO
1252 BUENA VISTA AVENUE
PACIFIC GROVE CA 93950

Officer/Director/Trustee Three

JENNA JACKSON
SECRETARY
1221 FIFTH STREET APT 2
MONTEREY CA 93940

Officer/Director/Trustee Four

PATRIC HERRING
CFO
500 GLENWOOD CIRCLE SUITE 119
MONTEREY CA 93940

Officer/Director/Trustee Five

LAUREN LINDSAY
OFFICER
707 N MCCADDEN PLACE
LOS ANGELES CA 90038

Organization’s website WWW.PLUSULTRAROBOTICS.COM
Organization’s email PLUSULTRATEAMS@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 MATTHEW LUSSIER
Signature Title CEO
Signature Date 6/4/19

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