FORM 1023-EZ for BAY VALLEY FOUNDATION

Field Data
EIN 83-1681369
Case Number EO-2019030-000548
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BAY VALLEY FOUNDATION
Organization’s Mailing Address PO BOX 1355
City RIPON
State CA
ZIP 95366
Accounting period End 12
Primary contact name BEENA SOIEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILLIP LAN
DIRECTOR
4701 STODDARD RD 2ND FLOOR
MODESTO CA 95356

Officer/Director/Trustee Two

TAYLOR LAMAR
DIRECTOR
4701 STODDARD RD 2ND FLOOR
MODESTO CA 95356

Officer/Director/Trustee Three

CHONG-YIH LI
DIRECTOR
4701 STODDARD RD 2ND FLOOR
MODESTO CA 95356

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 PHILLIP LAN
Signature Title DIRECTOR
Signature Date 12/28/18

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