FORM 1023-EZ for MARIN ART DAYCARE INC

Field Data
EIN 37-1932594
Case Number EO-2019115-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARIN ART DAYCARE INC
Organization’s Mailing Address 1704 LINCOLN AVE NUMBER 3
City SAN RAFAEL
State CA
ZIP 94901
Accounting period End 12
Primary contact name THOMAS S WROBEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONIO SIQUEIRA
PRESIDENT
1704 LINCOLN AVE NUM 3
SAN RAFAEL CA 94901

Officer/Director/Trustee Two

PAULANNE PRITCHARD
CHIEF OPERATING OFFICER
1924 5TH STREET
SAN RAFAEL CA 94091

Officer/Director/Trustee Three

BENJAMIN RAY HIROSHI TEDDER
TREASURER
8 BOLINAS ST NUM 5
FAIRFAX CA 94930

Officer/Director/Trustee Four

WILLIE PETER ANDERSON
SECRETARY
260 MARRYDALE RD
SAN RAFAEL CA 94903

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/05
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 JONIO SIQUEIRA
Signature Title PRESIDENT
Signature Date 4/23/19

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