FORM 1023-EZ for CALIFORNIA CELTIC HERITAGE ORGANIZATION

Field Data
EIN 84-2744346
Case Number EO-2019319-000083
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CALIFORNIA CELTIC HERITAGE ORGANIZATION
Organization’s Mailing Address 24471 QUARTER HORSE DRIVE
City SONORA
State CA
ZIP 95370-9525
Accounting period End 12
Primary contact name STACEY ADCOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN ADCOX
CHAIRMAN
24471 QUARTER HORSE DRIVE
SONORA CA 95370-9525

Officer/Director/Trustee Two

GARY BRITT
PRESIDENT
17960 LUCKY STRIKE TRAIL
SONORA CA 95370-9525

Officer/Director/Trustee Three

PATRICK KARNAHAN
VICE PRESIDENT
PO BOX 4541
SONORA CA 95370-9525

Officer/Director/Trustee Four

LISSA BRITT
SECRETARY
17960 LUCK STRIKE TRAIL
SONORA CA 95370-9525

Officer/Director/Trustee Five

STACEY ADCOX
TREASURER
24471 QUARTER HORSE DRIVE
SONORA CA 95370-9525

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STACEY ADCOX
Signature Title TREASURER
Signature Date 11/13/19

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