FORM 1023-EZ for ANTELOPE VALLEY SELF IMPROVEMENT RESOURCE CENTER INC

Field Data
EIN 84-2641791
Case Number EO-2020302-000402
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANTELOPE VALLEY SELF IMPROVEMENT RESOURCE CENTER INC
Organization’s Mailing Address 28121 SECO CANYON RD 88
City SANTA CLARITA
State CA
ZIP 91390
Accounting period End 12
Primary contact name JOHN BOOKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BOOKEER
DIRECTOR/FOUNDER/EX DIRECTOR
28121 SECO CANYON RD 88
SANTA CLARITA CA 91390

Officer/Director/Trustee Two

GREGORY BLACKSHEAR
PRESIDENT
3531 E AVE J4
LANCASTER CA 93535

Officer/Director/Trustee Three

DESHANA BOYD
VICE PRESIDENT
8819 AMALLWOOD AVE
CANTON GA 30115

Officer/Director/Trustee Four

DONNA SPENCER
SECRETARY/TREASURY
28121 SECO CANYON RD 88
SANTA CLARITA CA 91390

Organization’s website
Organization’s email NADWOC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2019
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: 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 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 GREGORY BLACKSHEAR
Signature Title PRESIDENT
Signature Date 10/26/2020

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