FORM 1023-EZ for SANTA ROSA HIGH SCHOOL PANTHER ATHLETIC CLUB
| Field | Data |
|---|---|
| EIN | 61-1775821 |
| Case Number | EO-2016074-000386 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SANTA ROSA HIGH SCHOOL PANTHER ATHLETIC CLUB |
| Organization’s Mailing Address | 1235 MENDOCINO AVENUE |
| City | SANTA ROSA |
| State | CA |
| ZIP | 95401 |
| Accounting period End | 6 |
| Primary contact name | JAMES WARD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
MICHAEL BURCH
PRESIDENT
1235 MENDOCINO AVENUE
SANTA ROSA CA 95401
Officer/Director/Trustee Two
MARLENE CALLEN
SECRETARY/TREASURER
1235 MENDOCINO AVENUE
SANTA ROSA CA 95401
Officer/Director/Trustee Three
BRAD COSCARELLI
DIRECTOR
1235 MENDOCINO AVENUE
SANTA ROSA CA 95401
Officer/Director/Trustee Four
MIKE GRACE
DIRECTOR
1235 MENDOCINO AVENUE
SANTA ROSA CA 95401
Officer/Director/Trustee Five
JAMES WARD
DIRECTOR
1235 MENDOCINO AVENUE
SANTA ROSA CA 95401
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/23/2015 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B94 - Parent/Teacher Group |
| 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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