FORM 1023-EZ for HUMBOLDT RESILIENCE INC

Field Data
EIN 85-0623682
Case Number EO-2020139-000110
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HUMBOLDT RESILIENCE INC
Organization’s Mailing Address 1661 JOHNSON LANE
City MCKINLEYVILLE
State CA
ZIP 95519
Accounting period End 12
Primary contact name JASSMINE STANCLIFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASSMINE STANCLIFF
CEO
1661 JOHNSON LANE
MCKINLEYVILLE CA 95519

Officer/Director/Trustee Two

RUTH WORTMAN
SECRETARY
42 BEAR RIVER DR
LOLETA CA 95551

Officer/Director/Trustee Three

RICHARD HAYDIN STANCLIFF
CFO
1661 JOHNSON LANE
MCKINLEYVILLE CA 95519

Officer/Director/Trustee Four

MATHEW MITCHELL
HUMAN RESOURCES MANAGER
2311 NE 139TH CIRCLE
VANCOUVER WA 98686

Organization’s website
Organization’s email HUMBOLDTRESILIENCEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2020
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
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 JASSMINE STANCLIFF
Signature Title CEO
Signature Date 5/14/2020

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