FORM 1023-EZ for CAMP WASTAHI INCORPORATED

Field Data
EIN 26-4338693
Case Number EO-2016025-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP WASTAHI INCORPORATED
Organization’s Mailing Address 4484 DESIN DRIVE
City SAN JOSE
State CA
ZIP 95118
Accounting period End 12
Primary contact name DEBRA PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA BOEPPLE
PRESIDENT
521 GILROY DRIVE
CAPITOLA CA 95010

Officer/Director/Trustee Two

NORA TRYHORN
VICE PRESIDENT
1231 SIERRA MARR DRIVE
SAN JOSE CA 95118

Officer/Director/Trustee Three

DANIELLE PHILLIPS
SECRETARY
1148 MAYETTE AVE
SAN JOSE CA 95125

Officer/Director/Trustee Four

DEBRA PHILLIPS
TREASURER
4484 DESIN DRIVE
SAN JOSE CA 95118

Organization’s website CAMPWASTAHI.ORG
Organization’s email DEBBIE-K@LACAVIONICS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2009
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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