FORM 1023-EZ for MARIN FOSTER CARE ASSOCIATION

Field Data
EIN 47-5237365
Case Number EO-2015281-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARIN FOSTER CARE ASSOCIATION
Organization’s Mailing Address 4280 REDWOOD HIGHWAY SUITE 1B
City SAN RAFAEL
State CA
ZIP 94903
Accounting period End 12
Primary contact name JASON BURDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON BURDGE
BOARD PRESIDENT
34 BIRCHWOOD DR
NOVATO CA 94947

Officer/Director/Trustee Two

ANNETTE VENABLES
BOARD VICE-PRESIDENT
52 LOCUST AVE
MILL VALLEY CA 94941

Officer/Director/Trustee Three

SHAWN YARNELL
BOARD SECRETARY
26 ETHEL LANE
MILL VALLEY CA 94941

Officer/Director/Trustee Four

FRAN PERRULLI
BOARD TREASURER
234 COBBLESTONE DRIVE
SAN RAFAEL CA 94903

Officer/Director/Trustee Five

PATTY CALA
BOARD MEMBER
1815 VINE ST
BERKELEY CA 94703

Organization’s website MARINFOSTERCARE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - 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 Yes
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
Signature Title
Signature Date

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