FORM 1023-EZ for CENTER FOR CONVIVIAL RESEARCH AND AUTONOMY

Field Data
EIN 47-2290212
Case Number EO-2015042-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTER FOR CONVIVIAL RESEARCH AND AUTONOMY
Organization’s Mailing Address 745 NORTH 5TH STREET
City SAN JOSE
State CA
ZIP 95112
Accounting period End 12
Primary contact name MANUEL CALLAHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MANUEL CALLAHAN
PRESIDENT, CEO, CHAIRPERSON
745 NORTH 5TH STREET
SAN JOSE CA 95112

Officer/Director/Trustee Two

ANNIE PARADISE
TREASURER, CFO
501 38TH AVE APT 201
SAN FRANCISCO CA 94112

Officer/Director/Trustee Three

JAMES BRAGGS
VICE-PRESIDENT
745 NORTH 5TH STREET
SAN JOSE CA 95112

Officer/Director/Trustee Four

RICARDO AGREDANO
SECRETARY
6953 RODLING DR UNIT F
SAN JOSE CA 95138

Officer/Director/Trustee Five

SUZANNE GUERRA
DIRECTOR
4771 WESTWING LANE
EUREKA CA 95503

Organization’s website
Organization’s email CCRA@MITOTEDIGITAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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