FORM 1023-EZ for NORTHERN CALIFORNIA OUTDOOR EDUCATION AND MENTORING PROGRAM

Field Data
EIN 82-3636008
Case Number EO-2018029-000546
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN CALIFORNIA OUTDOOR EDUCATION AND MENTORING PROGRAM
Organization’s Mailing Address 3020 REDEMEYER RD
City UKIAH
State CA
ZIP 95482
Accounting period End 6
Primary contact name PATRICK GARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK GARRETT
PRESIDENT
3020 REDEMEYER RD
UKIAH CA 95482

Officer/Director/Trustee Two

GRANT ARMSTRONG
TREASURER
12140 OAT GAP RD
POTTER VALLEY CA 95469

Officer/Director/Trustee Three

MAGGIE SINGLETON
VICE PRESIDENT
115 SOUTH SPRING ST
UKIAH CA 95482

Officer/Director/Trustee Four

MAUREEN MULHEREN
SECRETARY
304 NORTH STATE ST
UKIAH CA 95482

Officer/Director/Trustee Five

BERNADETT LINDGREN
TRUSTEE
202 MAGNOLIA ST
UKIAH CA 95482

Organization’s website N/A
Organization’s email NORCALOFFROAD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O40 - Scouting Organizations
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 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 PATRICK GARRETT
Signature Title PRESIDENT
Signature Date 1/26/18

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