FORM 1023-EZ for DISTRICT NORTHERN CALIFORNIA MASTERBREWERS ASSOCIATION OF THE AMERICA

Field Data
EIN 46-2685139
Case Number EO-2015016-000648
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DISTRICT NORTHERN CALIFORNIA MASTERBREWERS ASSOCIATION OF THE AMERICA
Organization’s Mailing Address 3340 PILOT KNOB ROAD
City ST. PAUL
State MN
ZIP 55121
Accounting period End 12
Primary contact name ROBERT HELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFF EATON
PRESIDENT
1404 4TH STREET
BERKELEY CA 94710-1323

Officer/Director/Trustee Two

TANNER DAVIES
VICE PRESIDENT
760 N 7TH ST
SAN JOSE CA 95112

Officer/Director/Trustee Three

ROBERT HELLER
TREASURER
16418 PATRICIA WAY
GRASS VALLEY CA 95949-7225

Officer/Director/Trustee Four

MARSHALL PRAHL
SECRETARY
3114 NEVADA AVE
SOUTH LAKE TAHOE CA 96150

Officer/Director/Trustee Five

LARS LARSON
BOARD OF GOVERNORS REPRESENTATIVE
1404 4TH STREET
BERKELEY CA 94710-1323

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2013
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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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