FORM 1023-EZ for GOOD SAMARITANS OF SILICON VALLEY CORP

Field Data
EIN 86-1326681
Case Number EO-2021064-001903
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOOD SAMARITANS OF SILICON VALLEY CORP
Organization’s Mailing Address 14576 BLOSSOM HILL
City LOS GATOS
State CA
ZIP 95032
Accounting period End 12
Primary contact name QUINTON MARKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUINTON MARKETT
PRESIDENT & DIRECTOR
14576 BLOSSOM HILL ROAD
LOS GATOS CA 95032

Officer/Director/Trustee Two

DYLAN NAKAH
VP OF TREASURY
513 NEELY COURT
ALAMO CA 94507

Officer/Director/Trustee Three

JACKSON RASMUSSEN
EXECUTIVE VP & DIRECTOR
122 REGENT DRIVE
LOS GATOS CA 95032

Officer/Director/Trustee Four

ASHLYN PLANT
VP OF OUTREACH & DIRECTOR
4256 FUNSTON DRIVE
SAN JOSE CA 95136

Officer/Director/Trustee Five

PAOLO NYGUEN
VP OF OPERATIONS & DIRECTOR
2076 SILENCE DRIVE
SAN JOSE CA 95148

Organization’s website GoodSamaritansofSiliconVa
Organization’s email GoodSamaritansofSiliconValley@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name QUINTON MARKETT
Signature Title PRESIDENT & DIRECTOR
Signature Date 1/13/2021

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