FORM 1023-EZ for YUBA SUTTER COMMUNITY BIKE KITCHEN

Field Data
EIN 47-2956253
Case Number EO-2015155-000264
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YUBA SUTTER COMMUNITY BIKE KITCHEN
Organization’s Mailing Address 6956 BOBOLINK WAY
City SACRAMENTO
State CA
ZIP 95831
Accounting period End 12
Primary contact name ROBERT ANDOSCA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT ANDOSCA
TREASURER
6956 BOBOLINK WAY
SACRAMENTO CA 95831

Officer/Director/Trustee Two

DREW MITCHELL
PRESIDENT
1465 THARP ROAD
YUBA CITY CA 95993

Officer/Director/Trustee Three

RIKKI SHAFFER
SECRETARY
1300 FRANKLIN ROAD
YUBA CITY CA 95993

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
Organization’s purpose Charitable: No
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 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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