FORM 1023-EZ for HIGH COUNCIL FOUNDATION

Field Data
EIN 84-4789197
Case Number EO-2020267-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIGH COUNCIL FOUNDATION
Organization’s Mailing Address PO BOX 1482
City SANTA CRUZ
State CA
ZIP 95061
Accounting period End 7
Primary contact name DAWN MARIE ROH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN ROH
PRESIDENT
24D MEADOW WAY
SCOTTS VALLEY CA 95066

Officer/Director/Trustee Two

CHELSEA WEAVER
CREATIVE DIRECTOR
655 TABOR DRIVE
SCOTTS VALLEY CA 95066

Officer/Director/Trustee Three

ADAM MORALES
TREASURER
3056 WILLOWBROOK LANE
APTOS CA 95003

Officer/Director/Trustee Four

SHEILA PERRY
SECRETARY
151 QUAIL HOLLOW DRIVE
SAN JOSE CA 95128

Officer/Director/Trustee Five

DOMINIQUE DELEON
DIRECTOR
233 GREEN MEADOW DRIVE APT B
WATSONVILLE CA 95076

Organization’s website WWW.HIGHCOUNCILFOUNDATION.COM
Organization’s email DAWN@HIGHCOUNCILFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 DAWN ROH
Signature Title PRESIDENT
Signature Date 9/21/2020

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