FORM 1023-EZ for FRESH AIR VALLEJO INC

Field Data
EIN 82-3851102
Case Number EO-2018060-000100
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRESH AIR VALLEJO INC
Organization’s Mailing Address 164 ROBLES WY STE 186
City VALLEJO
State CA
ZIP 94591
Accounting period End 12
Primary contact name JIMMY SARMIENTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER BROOKS
PRESIDENT
714 YORK ST
VALLEJO CA 94590

Officer/Director/Trustee Two

DONALD OSBORNE
VICE PRESIDENT
449 SPRINGS RD
VALLEJO CA 94590

Officer/Director/Trustee Three

ANNE CARR
SECRETARY
562 HICHBORN ST
VALLEJO CA 94590

Officer/Director/Trustee Four

JIMMY SARMIENTO
TREASURER
366 CLEARVIEW DR
VALLEJO CA 94591

Officer/Director/Trustee Five

BRENDA CRAWFORD
DIRECTOR
424 PARKVIEW TERRACE
VALLEJO CA 94589

Organization’s website WWW.FRESHAIRVALLEJO.COM
Organization’s email INFO@FRESHAIRVALLEJO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
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 JIMMY SARMIENTO
Signature Title TREASURER
Signature Date 2/27/18

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