FORM 1023-EZ for CARPE DIEM CONSERVATORY INC

Field Data
EIN 81-1781144
Case Number EO-2016074-000332
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARPE DIEM CONSERVATORY INC
Organization’s Mailing Address 8760 CENTER PKWY G147
City ELK GROVE
State CA
ZIP 95758
Accounting period End 12
Primary contact name SHIRLEY ROWOLDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHIRLEY ROWOLDT
PRESIDENT
8760 CENTER PKWY G147
ELK GROVE CA 95758

Officer/Director/Trustee Two

ERINN THOMAS
TREASURER
9146 ELK GROVE BLVD
ELK GROVE CA 95624

Officer/Director/Trustee Three

TERESA TARVER
DIRECTOR
16007 CROOKED LAKE WAY S
CYPRESS TX 77433

Officer/Director/Trustee Four

MICHELE GARCIA
DIRECTOR
5613 MINER CIRCLE
ROCKLIN CA 95765

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A26 - Arts Council/Agency
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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