FORM 1023-EZ for PITSTOP OUTREACH

Field Data
EIN 85-0632789
Case Number EO-2020181-000638
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PITSTOP OUTREACH
Organization’s Mailing Address 7350 MAPLE ST
City GILROY
State CA
ZIP 95020
Accounting period End 12
Primary contact name JAN BERNSTEIN CHARGIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAN CHARGIN
BOARD CHAIR
7350 MAPLE STREET
GILROY CA 95020

Officer/Director/Trustee Two

SAM BROWN
CO-CHAIR
500 W 10TH ST 84
GILROY CA 95020

Officer/Director/Trustee Three

ANTHONY MANNINO
TREASURER
500 W 10TH ST 99
GILROY CA 94020

Officer/Director/Trustee Four

MELISSA CUBANGBANG
SECRETARY
7350 MAPLE STREET
GILROY CA 95020

Officer/Director/Trustee Five

SHAWN WEYMOUTH
MEMBER
500 W 10TH ST 84
GILROY CA 95020

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2020
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAN CHARGIN
Signature Title BOARD CHAIR
Signature Date 6/26/2020

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