FORM 1023-EZ for TIM RUBEL HUMAN SHAKES INC

Field Data
EIN 85-1054137
Case Number EO-2020206-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIM RUBEL HUMAN SHAKES INC
Organization’s Mailing Address 681 37TH STREET
City OAKLAND
State CA
ZIP 94609-2338
Accounting period End 8
Primary contact name TIM RUBEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RHEA SPEIGHTS
PRESIDENT
3800 MAYBELLE AVE APT 11
OAKLAND CA 94619-2155

Officer/Director/Trustee Two

ERIN MITCHELL
VICE PRESIDENT
116 LINCOLN STREET
SANTA ROSA CA 95401-4733

Officer/Director/Trustee Three

KRISTIN TOROK
SECRETARY
3300 POWELL STREET 305
EMERYVILLE CA 94608-4923

Officer/Director/Trustee Four

GREG TOROK
TREASURER
3300 POWELL STREET 305
EMERYVILLE CA 94608-4923

Officer/Director/Trustee Five

TIMOTHY RUBEL
ARTISTIC DIRECTOR AND BOARD MEMBER
7550 COUNTRY CLUB DRIVE APT 12201
LAREDO TX 78041-3277

Organization’s website WWW.HUMANSHAKES.COM
Organization’s email HUMANSHAKES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 Yes
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 TIMOTHY RUBEL
Signature Title ARTISTIC DIRECTOR AND BOARD MEMBER
Signature Date 7/22/2020

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