FORM 1023-EZ for RANCHO CORDOVA HART - HOMELESS ASSISTANCE RESOURCE TEAM

Field Data
EIN 61-1799533
Case Number EO-2019252-000227
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RANCHO CORDOVA HART - HOMELESS ASSISTANCE RESOURCE TEAM
Organization’s Mailing Address 4687 FAIRBROOK COURT
City RANCHO CORDOVA
State CA
ZIP 95742-8129
Accounting period End 6
Primary contact name JOHN THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS KIMBALL
PRESIDENT
4687 FAIRBROOK COURT
RANCHO CORDOVA CA 95742-8129

Officer/Director/Trustee Two

JOHN THOMPSON
TREASURER
9977 STIRLING PARK DR
SACRAMENTO CA 95827-1431

Officer/Director/Trustee Three

NAN TRAUD
SECRETARY
2410 TUSCANO COURT
RANCHO CORDOVA CA 95670

Officer/Director/Trustee Four

LINDA GIBSON
VOTING MEMBER
2318 EL PESCADOR COURT
GOLD RIVER CA 95670

Officer/Director/Trustee Five

LARRY STAFFORD
VOTING MEMBER
10577 COLOMA ROAD
RANCHO CORDOVA CA 95670

Organization’s website WWW.RANCHOCORDOVAHART.ORG
Organization’s email RANCHOCORDOVAHART@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/16
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN THOMPSON
Signature Title TREASURER
Signature Date 9/5/19
EIN 61-1799533
Case Number EO-2016260-000150
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RANCHO CORDOVA HART
Organization’s Mailing Address 11223 TRINITY RIVER DRIVE
City RANCHO CORDOVA
State CA
ZIP 95670
Accounting period End 12
Primary contact name MARK PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN EDWARDS
CEO, DIRECTOR
11223 TRINITY RIVER DRIVE
RANCHO CORDOVA CA 95670

Officer/Director/Trustee Two

NAN TRAUD
SECRETARY, DIRECTOR
11223 TRINITY RIVER DRIVE
RANCHO CORDOVA CA 95670

Officer/Director/Trustee Three

JOHN THOMPSON
CFO, DIRECTOR
11223 TRINITY RIVER DRIVE
RANCHO CORDOVA CA 95670

Officer/Director/Trustee Four

KEN KORSMO
DIRECTOR
11223 TRINITY RIVER DRIVE
RANCHO CORDOVA CA 95670

Officer/Director/Trustee Five

INEZ REYES
DIRECTOR
11223 TRINITY RIVER DRIVE
RANCHO CORDOVA CA 95670

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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
Signature Title
Signature Date

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