FORM 1023-EZ for LGBTQ COLLABORATIVE

Field Data
EIN 85-1911056
Case Number EO-2020203-000129
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LGBTQ COLLABORATIVE
Organization’s Mailing Address 209 SEMPLE STREET
City MODESTO
State CA
ZIP 95354
Accounting period End 6
Primary contact name JOHN AGUIRRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN AGUIRRE
CEO
209 SEMPLE STREET
MODESTO CA 95354

Officer/Director/Trustee Two

STEVEN CULLEN
TREASURER
209 SEMPLE STREET
MODESTO CA 95354-0650

Officer/Director/Trustee Three

CHRIS BROWN
SECRETARY
1012 MONO STREET
MANTECA CA 95337

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R26 - Lesbian, Gay Rights
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 AGUIRRE
Signature Title CEO
Signature Date 7/16/2020

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