FORM 1023-EZ for COMMUNITY HOME MAINTENANCE PROJECT

Field Data
EIN 83-1082596
Case Number EO-2018247-000390
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY HOME MAINTENANCE PROJECT
Organization’s Mailing Address 120 SEAVIEW AVE
City SANTA CRUZ
State CA
ZIP 95062
Accounting period End 12
Primary contact name SAM BURKHARDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM BURKHARDT
PRESIDENT/DIRECTOR
120 SEAVIEW AVE
SANTA CRUZ CA 95062

Officer/Director/Trustee Two

JIM GRIFFIN
SECRETARY/DIRECTOR
120 SEAVIEW AVE
SANTA CRUZ CA 95062

Officer/Director/Trustee Three

LAUREL WILSON
TREASURER/DIRECTOR
120 SEAVIEW AVE
SANTA CRUZ CA 95062

Organization’s website
Organization’s email DOGDAD51@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 SAM BURKHARDT
Signature Title PRESIDENT/DIRECTOR
Signature Date 8/30/18

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