FORM 1023-EZ for PACIFIC BEACH STREET GUARDIANS

Field Data
EIN 81-4047283
Case Number EO-2016285-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PACIFIC BEACH STREET GUARDIANS
Organization’s Mailing Address 1158 THOMAS AVE
City SAN DIEGO
State CA
ZIP 92106
Accounting period End 12
Primary contact name KIERAN DE TERRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARYN BLANTON
PRESIDENT
1158 THOMAS AVE
SAN DIEGO CA 92109

Officer/Director/Trustee Two

GORDON FROELICH
SECRETARY
1243 EMERALD AVE
SAN DIEGO CA 92109

Officer/Director/Trustee Three

JEFF BLANTON
TREASURER
1158 THOMAS AVE
SAN DIEGO CA 92109

Officer/Director/Trustee Four

KETURAH KENNEDY
DIRECTOR
1158 THOMAS AVE
SAN DIEGO CA 92109

Officer/Director/Trustee Five

CHARLENE ASHENDORF
DIRECTOR
1158 THOMAS AVE
SAN DIEGO CA 92109

Organization’s website
Organization’s email CARYN@PBSTREETGUARDIANS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J30 - Vocational Rehabilitation
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 Yes
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
Signature Title
Signature Date

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