FORM 1023-EZ for THE WHITE ROSE ORDER

Field Data
EIN 81-3744317
Case Number EO-2016271-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE WHITE ROSE ORDER
Organization’s Mailing Address 3601 PACIFIC AVE
City STOCKTON
State CA
ZIP 95211
Accounting period End 12
Primary contact name JABIN KILLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JABIN KILLE
TREASURER
1743 CHELAN RD
WEST SACRAMENTO CA 95691

Officer/Director/Trustee Two

TAYLOR PALAJAC
SECRETARY
3601 PACIFIC AVE
STOCKTON CA 95211

Officer/Director/Trustee Three

JAMES WALL
VICE PRESIDENT
3601 PACIFIC AVE
STOCKTON CA 95211

Officer/Director/Trustee Four

TOM FAMA
PRESIDENT
3601 PACIFIC AVE
STOCKTON CA 95691

Organization’s website
Organization’s email TWRO.SIG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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
Signature Title
Signature Date

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