FORM 1023-EZ for ANNIE OAKLEY ACADEMY

Field Data
EIN 82-1609799
Case Number EO-2017166-000203
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANNIE OAKLEY ACADEMY
Organization’s Mailing Address PO BOX 2134
City COLUMBIA
State CA
ZIP 95310
Accounting period End 12
Primary contact name JO RODEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JO RODEFER
PRESIDENT
10366 HORSESHOE BEND ROAD
SONORA CA 95370

Officer/Director/Trustee Two

KRIS PEDRONCELLI
VICE PRESIDENT
10366 HORSESHOE BEND ROAD
SONORA CA 95370

Officer/Director/Trustee Three

LYNN TARRONE
SECRETARY
10366 HORSESHOE BEND ROAD
SONORA CA 95370

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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