FORM 1023-EZ for CALIFORNIA ASSOCIATION OF PUBLIC HEALTH MICROBIOLOGISTS
| Field | Data |
|---|---|
| EIN | 83-0692639 |
| Case Number | EO-2019030-000723 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CALIFORNIA ASSOCIATION OF PUBLIC HEALTH MICROBIOLOGISTS |
| Organization’s Mailing Address | 1225 MOUNTAIN VIEW AVENUE |
| City | PETALUMA |
| State | CA |
| ZIP | 94952 |
| Accounting period End | 6 |
| Primary contact name | LISA CRITCHETT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LISA CRITCHETT
PRESIDENT
1225 MOUNTAIN VIEW AVENUE
PETALUMA CA 94952
Officer/Director/Trustee Two
KYLLIE BOUGET LINDSEY
SECRETARY
2916 AUGUSTA STREET 10
SAN LUIS OBISPO CA 93401
Officer/Director/Trustee Three
SAMANTHA HALLIS
TREASURER
2273 WEST GOLDEN WEST
ANAHEIM CA 92804
| Organization’s website | CAPHM.ORG |
|---|---|
| Organization’s email | PHMICROBIOLOGIST@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/15/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Y03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: Yes 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 | LISA CRITCHETT |
| Signature Title | PRESIDENT |
| Signature Date | 12/26/18 |
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