FORM 1023-EZ for MADDY CHILD ANGEL OF SANTA CRUZ

Field Data
EIN 81-5379260
Case Number EO-2017107-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MADDY CHILD ANGEL OF SANTA CRUZ
Organization’s Mailing Address 5784 CAMPANELLA PLACE
City RANCHO CUCAMONGA
State AA
ZIP 91739
Accounting period End 6
Primary contact name DAN MIDDLETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA JACOBS
PRESIDENT
1520 RICHARDSON ROAD
CRESCENT CITY CA 95531

Officer/Director/Trustee Two

JUDY MIDDLETON
CHIEF FINANCIAL OFFICER
5784 CAMPANELLA PLACE
RANCHO CUCAMONGA CA 91739

Officer/Director/Trustee Three

DANIEL MIDDLETON
CHAIRMAN OF THE BOARD OF DIRECTORS
5784 CAMPANELLA PLACE
RANCHO CUCAMONGA CA 91739

Officer/Director/Trustee Four

ERIC CORDER
SECRETARY
175 RIVERSIDE AVENUE
BEN LOMOND CA 95005

Officer/Director/Trustee Five

DENISE VIVAR
VOTING BOARD MEMBER
PO BOX 286
SANTA CRUZ CA 95061

Organization’s website WWW.MADDYANGEL.COM
Organization’s email INFO@MADDYANGEL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
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 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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