FORM 1023-EZ for STEMSATIONAL GIRLS CLUB FOUNDATIONINC

Field Data
EIN 86-2176930
Case Number EO-2021091-001224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STEMSATIONAL GIRLS CLUB FOUNDATIONINC
Organization’s Mailing Address 382 N LEMON AVE
City WALNUT
State CA
ZIP 91789
Accounting period End 12
Primary contact name SEDRIC HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIENNE ATKINS
PRESIDENT & CEO
166 S DOMER
WALNUT CA 91789

Officer/Director/Trustee Two

LANCELOT ARNOLD
DIRECTOR
3123 MANCHESTER ST
TULARE CA 93274

Officer/Director/Trustee Three

JOAN ROBINSON BERRY
DIRECTOR
21922 SE 39TH PL
SAMMAMISH WA 98075

Officer/Director/Trustee Four

SEDRIC HILL SR
DIRECTOR
21416 LAKE FOREST DR STE A
LAKE FOREST CA 92630

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ADRIENNE ATKINS
Signature Title PRESIDENT & CEO
Signature Date 2/22/2021

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