FORM 1023-EZ for NEW CIVIC FORUM
| Field | Data |
|---|---|
| EIN | 82-1724879 |
| Case Number | EO-2020139-000570 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NEW CIVIC FORUM |
| Organization’s Mailing Address | PO BOX 20040 |
| City | SANTA BARBARA |
| State | CA |
| ZIP | 93120 |
| Accounting period End | 12 |
| Primary contact name | JASON DOMINGUEZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JASON DOMINGUEZ
EXECUTIVE DIRECTOR
930 CALLE PUERTO VALLARTA A
SANTA BARBARA CA 93103
Officer/Director/Trustee Two
MARYANNE RITCHIE
PRESIDENT OF BOARD
2179 EASTRIDGE TRL
OXNARD CA 93036
Officer/Director/Trustee Three
JEFF MAYES
BOARD SECRETARY
515 S FLOWER ST 18TH FLOOR
LOS ANGELES CA 90071
Officer/Director/Trustee Four
FRANCISCO FERNANDEZ
BOARD MEMBER
5225 KATY FWY 465
HOUSTON TX 77007
Officer/Director/Trustee Five
RANJ THIARA
BOARD MEMBER
402 N MILPAS
SANTA BARBARA CA 93103
| Organization’s website | NEWCIVICFORUM.ORG |
|---|---|
| Organization’s email | JDOMINGUEZ@NEWCIVICFORUM.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/29/2017 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S20 - Community, Neighborhood Development, Improvement (General) |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JASON DOMINGUEZ |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 5/16/2020 |
| EIN | 82-1724879 |
| Case Number | EO-2018078-000548 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NEW CIVIC FORUM |
| Organization’s Mailing Address | 422 MILPAS ST ROOM 7 |
| City | SANTA BARBARA |
| State | CA |
| ZIP | 93103 |
| Accounting period End | 6 |
| Primary contact name | JASON DOMINGUEZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JASON DOMINGUEZ
CHIEF EXECUTIVE OFFICER
422 N MILPAS ST
SANTA BARBARA CA 93103
Officer/Director/Trustee Two
JASON TOON
SECRETARY
422 N MILPAS ST
SANTA BARBARA CA 93103
Officer/Director/Trustee Three
EJ DOMINGUEZ
CHIEF FINANCIAL OFFICER
422 N MILPAS ST
SANTA BARBARA CA 93103
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/8/17 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| 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 | 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 | JASON DOMINGUEZ |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 3/16/18 |
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