FORM 1023-EZ for PINE CONE PERFORMERS

Field Data
EIN 32-0615968
Case Number EO-2020009-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINE CONE PERFORMERS
Organization’s Mailing Address PO BOX 1222
City GROVELAND
State CA
ZIP 95321-1222
Accounting period End 12
Primary contact name ROBERT SWAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA HERENDEEN
PRESIDENT
20148 LOWER SKYRIDGE DRIVE
GROVELAND CA 95321-9375

Officer/Director/Trustee Two

FRANK JABLONSKI
VICE PRESIDENT
19203 FERRETTI ROAD
GROVELAND CA 95321-9535

Officer/Director/Trustee Three

BARBARA KLAHN
RECORDING SECRETARY
20840 ROCK CANYON WAY
GROVELAND CA 95321-8507

Officer/Director/Trustee Four

ROBERT SWAN
TREASURER
12903 HONDO COURT
GROVELAND CA 95321-9550

Officer/Director/Trustee Five

LINELLE MARSHALL
CORRESPONDING SECRETARY
12077 BRECKENRIDGE ROAD
GROVELAND CA 95321-9507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural 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 ROBERT SWAN
Signature Title TREASURER
Signature Date 1/7/2020

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