FORM 1023-EZ for PJS FOR SICK DAYS

Field Data
EIN 83-2156025
Case Number EO-2019182-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PJS FOR SICK DAYS
Organization’s Mailing Address 481 N SANTA CRUZ AVE SUITE 170
City LOS GATOS
State CA
ZIP 95030
Accounting period End 12
Primary contact name SARA ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACK ANDERSON
CEO
1619 SUNSET RIDGE ROAD
LOS GATOS CA 95033

Officer/Director/Trustee Two

SARA ANDERSON
CFO AND SECRETARY
1619 SUNSET RIDGE ROAD
LOS GATOS CA 95033

Organization’s website WWW.PJSFORSICKDAYS.ORG
Organization’s email INFO@PJSFORSICKDAYS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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 SARA ANDERSON
Signature Title CFO AND SECRETARY
Signature Date 6/26/19

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