FORM 1023-EZ for EQUITERRA FOUNDATION

Field Data
EIN 87-1262881
Case Number EO-2021176-000085
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EQUITERRA FOUNDATION
Organization’s Mailing Address 101 AMERICAN CANYON ROAD 508-327
City AMERICAN CANYON
State CA
ZIP 94503-1162
Accounting period End 12
Primary contact name SAMUEL NOBLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL NOBLE
PRESIDENT
101 AMERICAN CANYON ROAD 508-327
AMERICAN CANYON CA 94503-1162

Officer/Director/Trustee Two

HEATHER HORNBROOK
TREASURER
506 RIO DEL MAR
AMERICAN CANYON CA 94503-1353

Officer/Director/Trustee Three

STEPHANIE GALEY
SECRETARY
1817 HOLSTEINER DRIVE
FAIRFIELD CA 94534-7473

Officer/Director/Trustee Four

GINA COOPER
DIRECTOR
494 W I ST
BENICIA CA 94510-3058

Officer/Director/Trustee Five

BRYAN WILLIAMS
DIRECTOR
1046 WINTERWOOD DR
FAIRFIELD CA 94533-9769

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 SAMUEL NOBLE
Signature Title PRESIDENT
Signature Date 6/23/2021

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