FORM 1023-EZ for SAN LORENZO VALLEY EMERGENCY NETWORK

Field Data
EIN 47-4768523
Case Number EO-2015275-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAN LORENZO VALLEY EMERGENCY NETWORK
Organization’s Mailing Address PO BOX 534
City FELTON
State CA
ZIP 95018-0534
Accounting period End 12
Primary contact name DAN SELLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LIZ TAYLOR-SELLING
CHAIR
211 CIRCLE DR
FELTON CA 95018-9370

Officer/Director/Trustee Two

TAMI TRACEY
VICE-CHAIR
6431 ASHLEY ST
FELTON CA 95018-9418

Officer/Director/Trustee Three

ALLISON HERSHEY
SECRETARY
1074 EL SOYO HEIGHTS DR
FELTON CA 95018

Officer/Director/Trustee Four

LUCILLE DE MATTOS
TREASURER
PO BOX 1391
FELTON CA 95018-1391

Officer/Director/Trustee Five

DANIEL SELLING
DIRECTOR
211 CIRCLE DR
FELTON CA 95018-9730

Organization’s website
Organization’s email SLVEMERGENCYNETWORK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief 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
Signature Title
Signature Date

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