FORM 1023-EZ for QUEERIOUS LABS

Field Data
EIN 83-3526414
Case Number EO-2019063-000545
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUEERIOUS LABS
Organization’s Mailing Address 33 HARRIET ST APT 1
City SAN FRANCISCO
State CA
ZIP 94103-4034
Accounting period End 12
Primary contact name REBECCA VALENTINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA VALENTINE
PRESIDENT
33 HARRIET ST APT 1
SAN FRANCISCO CA 94103-4034

Officer/Director/Trustee Two

PATRICIA MACKENZIE
TREASURER
1371 PEDRO ST APT 15
SAN JOSE CA 95126-3868

Officer/Director/Trustee Three

MATTHEW ARCIDY
SECRETARY
1277 WATERLILY WAY
SAN JOSE CA 95129-2866

Organization’s website HTTPS://QUEERIOUSLABS.COM
Organization’s email QUEERIOUSLABS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
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: Yes
Scientific: Yes
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 REBECCA VALENTINE
Signature Title PRESIDENT
Signature Date 3/2/19

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