FORM 1023-EZ for FOUNDATION FOR SAN MATEO AREA CHAMBER EDUCATION AND LEADERSHIP PROGRAM

Field Data
EIN 83-3845534
Case Number EO-2019345-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION FOR SAN MATEO AREA CHAMBER EDUCATION AND LEADERSHIP PROGRAM
Organization’s Mailing Address 1730 S AMPHLETT BLVD SUITE 206
City SAN MATEO
State CA
ZIP 94402-2709
Accounting period End 12
Primary contact name TISH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TISH BUSSELLE
PRESIDENT
1730 S AMPHLETT BLVD SUITE 206
SAN MATEO CA 94402-2709

Officer/Director/Trustee Two

TISH BUSSELLE
VICE PRESIDENT
1730 S AMPHLETT BLVD SUITE 206
SAN MATEO CA 94402-2709

Officer/Director/Trustee Three

TISH BUSSELLE
SECRETARY-TREASURER
1730 S AMPHLETT BLVD SUITE 206
SAN MATEO CA 94402-2709

Officer/Director/Trustee Four

DAVID SKROMME
DIRECTOR
1730 S AMPHLETT BLVD SUITE 206
SAN MATEO CA 94402-2709

Officer/Director/Trustee Five

HEATHER CLEARY
DIRECTOR
1730 S AMPHLETT BLVD SUITE 206
SAN MATEO CA 94402-2709

Organization’s website WWW.EDUCATIONLEADERSHIP.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TISH BUSSELLE
Signature Title SECRETARY-TREASURER
Signature Date 12/9/2019

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