FORM 1023-EZ for JOAQUINS WARRIORS DMD
| Field | Data |
|---|---|
| EIN | 83-4647341 |
| Case Number | EO-2019133-000503 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JOAQUINS WARRIORS DMD |
| Organization’s Mailing Address | 173 HAGEMANN AVE |
| City | SANTA CRUZ |
| State | CA |
| ZIP | 95062 |
| Accounting period End | 12 |
| Primary contact name | CHERYL BASS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHERYL BASS
PRESIDENT, DIRECTOR
173 HAGEMANN AVE
SANTA CRUZ CA 95062
Officer/Director/Trustee Two
BROOKE HOLMQUIST
SECRETARY, DIRECTOR
173 HAGEMANN AVE
SANTA CRUZ CA 95062
Officer/Director/Trustee Three
KATIE BAKER
TREASURER, DIRECTOR
173 HAGEMANN AVE
SANTA CRUZ CA 95062
| Organization’s website | WWW.JOAQUINSWARRIORSDMD.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/23/19 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | Yes |
| 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 | CHERYL BASS |
| Signature Title | PRESIDENT, DIRECTOR |
| Signature Date | 5/10/19 |
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