FORM 1023-EZ for TOPS CA 1934 LINCOLN

Field Data
EIN 30-0742435
Case Number EO-2016167-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOPS CA 1934 LINCOLN
Organization’s Mailing Address 2000 PRAIRIE VIEW LANE
City LINCOLN
State CA
ZIP 95648
Accounting period End 3
Primary contact name JACKIE BURNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACKIE BURNETT
LEADER
2000 PRAIRIE VIEW LANE
Lincoln CA 95648

Officer/Director/Trustee Two

Jackie Burnett
CO-LEADER
2000 Prairie View Lane
LINCOLN CA 95648

Officer/Director/Trustee Three

LEAH SCHMUCK
SECRETARY
2060 FIFTH ST
LINCOLN CA 95648

Officer/Director/Trustee Four

GAIL POOLE
TREASURER
2233 PRAIRIE VIEW LANE
LINCOLN CA 95648

Officer/Director/Trustee Five

PAM MAYERS
WEIGHT RECORDER
713 MT ERRIGAL PL
LINCOLN CA 95648

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2015
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: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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