FORM 1023-EZ for YOUR FAMILY OUR VILLAGE

Field Data
EIN 81-1598316
Case Number EO-2019266-000420
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUR FAMILY OUR VILLAGE
Organization’s Mailing Address PO BOX 3310
City VALLEJO
State CA
ZIP 94590
Accounting period End 12
Primary contact name KATRINA WAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATRINA WAUER
SECRETARY
PO BOX 3310
VALLEJO CA 94590

Officer/Director/Trustee Two

TEHAUNA PONCE
VICE PRESIDENT
PO BOX 3310
VALLEJO CA 94590

Officer/Director/Trustee Three

ROSE DOUGLAS
President
PO BOX 3310
VALLEJO CA 94590

Officer/Director/Trustee Four

ALVA EVANS
SECRETARY
PO BOX 3310
VALLEJO CA 94590

Organization’s website
Organization’s email YOURFAMILYOURVILLAGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/16
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROSE DOUGLAS
Signature Title President
Signature Date 9/20/19
EIN 81-1598316
Case Number EO-2017062-000458
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUR FAMILY OUR VILLAGE
Organization’s Mailing Address 207 CASSADY STREET
City VALLEJO
State CA
ZIP 94590-4636
Accounting period End 12
Primary contact name ROSE M DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE DOUGLAS
PRESIDENT
207 CASSADY ST
VALLEJO CA 94590-4636

Officer/Director/Trustee Two

TEHAUNA PONCE
VICE PRESIDENT
207 CASSADY ST
VALLEJO CA 94590-4636

Officer/Director/Trustee Three

ALVA EVANS
CHIEF FINANCIAL OFFICER
207 CASSADY ST
VALLEJO CA 94590-4636

Officer/Director/Trustee Four

KATRINA WAUER
SECRETARY
207 CASSADY ST
VALLEJO CA 94590-4636

Organization’s website
Organization’s email YOURFAIMLYOURVILLAGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: No
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 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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