FORM 1023-EZ for COASTSIDE CERT

Field Data
EIN 84-4206103
Case Number EO-2020010-000457
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COASTSIDE CERT
Organization’s Mailing Address 1191 MAIN STREET
City HALF MOON BAY
State CA
ZIP 94019-2158
Accounting period End 12
Primary contact name MARK HANCOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID COSGRAVE
PRESIDENT
1191
HALF MOON BAY CA 94019-2158

Officer/Director/Trustee Two

APRIL LARSEN
SECRETARY
1191 MAIN STREET
HALF MOON BAY CA 94019-2158

Officer/Director/Trustee Three

CYNTHIA SHERRILL
TREASURER
1191 MAIN STREET
HALF MOON BAY CA 94019-2158

Organization’s website WWW.COASTSIDECERT.COM
Organization’s email COASTSIDECERT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 CYNTHIA SHERRILL
Signature Title TREASURER
Signature Date 1/8/2020

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