FORM 1023-EZ for ASSOCIATION OF CALAPENOS-USA INTERNATIONAL INC

Field Data
EIN 20-8439807
Case Number EO-2015251-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASSOCIATION OF CALAPENOS-USA INTERNATIONAL INC
Organization’s Mailing Address 171-B SCHOOL STREET
City DALY CITY
State CA
ZIP 94014-2433
Accounting period End 5
Primary contact name PAZ ITURRALDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MYRNA VILLAS
PRESIDENT/CEO
171-B SCHOOL STREET
DALY CITY CA 94014-2433

Officer/Director/Trustee Two

ADELMAR SILVESTRE
TREASURER/CFO
3559 WILLOVIEW DRIVE
SAN JOSE CA 95118-1360

Officer/Director/Trustee Three

JIMMY CHUA
DIRECTOR
10 LYME LANE
FOSTER CITY CA 94404-3583

Officer/Director/Trustee Four

PAZ ITURRALDE
DIRECTOR
314 PINE STREET
MILLBRAE CA 94030-2019

Officer/Director/Trustee Five

RUBY NAVARRO
DIRECTOR
22918 BOLSA AVENUE
CARSON CA 90745-4723

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2007
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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