FORM 1023-EZ for DOS PUEBLOS RELIEF BAJA
| Field | Data |
|---|---|
| EIN | 84-3583191 |
| Case Number | EO-2019345-000434 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DOS PUEBLOS RELIEF BAJA |
| Organization’s Mailing Address | 9791 RIO GRANDE ST |
| City | VENTURA |
| State | CA |
| ZIP | 93004 |
| Accounting period End | 12 |
| Primary contact name | RANDALL GUZIK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHEILA RAIVES
PRESIDENT
4077 GETTYSBURG ST
VENRTURA CA 93003-1827
Officer/Director/Trustee Two
TAMARA LAWLER
SECRETARY
6000 FREMONT ST
VENTURA CA 93003-2348
Officer/Director/Trustee Three
RANDALL GUZIK
TREASURER
9791 RIO GRANDE ST
VENTURA CA 93004-3071
Officer/Director/Trustee Four
SANDRA KUNES
BOARD MEMBER
250 LIMONEIRA
VENTURA CA 93003-2547
Officer/Director/Trustee Five
JOE VAUGHAN
BOARD MEMBER
2277 HYLAND AVE
VENTURA CA 93001-2405
| Organization’s website | NONE |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/18/2019 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W99 - Public, Society Benefit - Multipurpose and Other N.E.C. |
| 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 | Yes |
| Conducting Activities Outside of United States | Yes |
| 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 | RANDALL GUZIK |
| Signature Title | TREASURER |
| Signature Date | 12/9/2019 |
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