FORM 1023-EZ for SUTTER YUBA HOMELESS CONSORTIUM

Field Data
EIN 46-2438264
Case Number EO-2016144-000240
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUTTER YUBA HOMELESS CONSORTIUM
Organization’s Mailing Address 410 DEL NORTE AVENUE
City YUBA CITY
State CA
ZIP 95991-4113
Accounting period End 6
Primary contact name ANDREA METCALF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHAYA GALICIA
PRESIDENT
401 DEL NORTE AVENUE
YUBA CITY CA 95991-4113

Officer/Director/Trustee Two

MARSHA KROUSE TAYLOR
VICE-PRESIDENT
P O BOX 56
YUBA CITY CA 95592-0056

Officer/Director/Trustee Three

SHARMAN KOBAYASHI
SECRETARY
3840 CARLSON ROAD
YUBA CITY CA 95993

Officer/Director/Trustee Four

TERRY RALEY
TREASURER
1521 BUTTE HOUSE RD STE C
YUBA CITY CA 95993

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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