FORM 1023-EZ for GIRLS ROCK SACRAMENTO

Field Data
EIN 84-2310356
Case Number EO-2019224-000555
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIRLS ROCK SACRAMENTO
Organization’s Mailing Address 3830 AUBURN BLVD
City CARMICHAEL
State CA
ZIP 95821
Accounting period End 12
Primary contact name LARISA BRYSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA WALTMAN
PRESIDENT
3830 AUBURN BLVD UNIT E
SACRAMENTO CA 95817

Officer/Director/Trustee Two

GISELLE CORRIE
TREASURER
3830 AUBURN BLVD UNIT E
CARMICHAEL CA 95821

Officer/Director/Trustee Three

JENNY MANZER-BECK
SECRETARY
3830 AUBURN BLVD UNIT E
CARMICHAEL CA 95821

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBRA WALTMAN
Signature Title PRESIDENT
Signature Date 8/9/19

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