FORM 1023-EZ for WOODSHOP ROCKS

Field Data
EIN 81-4563287
Case Number EO-2016342-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WOODSHOP ROCKS
Organization’s Mailing Address 3426 OXFORD ROAD
City CAMERON PARK
State CA
ZIP 95682
Accounting period End 12
Primary contact name NEYLEEN S BELJAJEV
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUANE CALKINS
CEO
2121 CENTRAL AVENUE
ROSEVILLE CA 95747

Officer/Director/Trustee Two

JARRET HALEY
CDO/VP
415 UNITY
ROSEVILLE CA 95678

Officer/Director/Trustee Three

BRIAN FUENTES
COO/TREASURER
3426 OXFORD ROAD
CAMERON PARK CA 95682

Officer/Director/Trustee Four

JEFF EMMERLING
CMO/CTO
309 CEDAR STREET
ROSEVILLE CA 95678

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 Yes
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
Signature Title
Signature Date

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