FORM 1023-EZ for PFLAG OF CLAYTON-CONCORD

Field Data
EIN 84-3447815
Case Number EO-2021231-000423
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PFLAG OF CLAYTON-CONCORD
Organization’s Mailing Address 1214 WOODBOROUGH RD
City LAFAYETTE
State CA
ZIP 94549
Accounting period End 12
Primary contact name KATHLEEN KRENTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN KRENTZ
PRESIDENT
1214 WOODBOROUGH RD
LAFAYETTE CA 94549-2634

Officer/Director/Trustee Two

JUDITH JEWETT
SECRETARY
5731 LAURELWOOD PLACE
CONCORD CA 94521

Officer/Director/Trustee Three

ANN NELSON
TREASURER
3709 ROSEBROOK CT
CONCORD CA 94518

Organization’s website
Organization’s email CLAYCORDPFLAG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 KATHLEEN KRENTZ
Signature Title PRESIDENT
Signature Date 8/18/2021

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