FORM 1023-EZ for SLOWPOKE ACUPUNCTURE

Field Data
EIN 81-1759328
Case Number EO-2016244-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SLOWPOKE ACUPUNCTURE
Organization’s Mailing Address 2921 FOLSOM STREET APT A
City SAN FRANCISCO
State CA
ZIP 94110
Accounting period End 12
Primary contact name TARA SPALTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA SPALTY
PRESIDENT
2921 FOLSOM STREET APT A
SAN FRANCISCO CA 94110

Officer/Director/Trustee Two

MOLLY BRENNAN
SECRETARY/TREASURER
2921 FOLSOM STREET APT A
SAN FRANCISCO CA 94110

Officer/Director/Trustee Three

JENNIFER CASEY
BOARD MEMBER
195 QUAIL HOLLOW ROAD
FELTON CA 95018

Officer/Director/Trustee Four

CASSIE THORNTON
BOARD MEMBER
2411 HUMBOLDT AVENUE
OAKLAND CA 94601

Officer/Director/Trustee Five

VANESA FIMBREZ
BOARD MEMBER
3595 LONDONDERRY DRIVE
SANTA CLARA CA 95050

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2015
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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