FORM 1023-EZ for ROUTE5
| Field | Data |
|---|---|
| EIN | 83-0849697 |
| Case Number | EO-2018186-000469 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ROUTE5 |
| Organization’s Mailing Address | 18 ROSEMONT AVENUE |
| City | SAN ANSELMO |
| State | CA |
| ZIP | 94960 |
| Accounting period End | 12 |
| Primary contact name | ARINN TESTA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ARINN TESTA
CHAIRMAN OF THE BOARD/PRESIDENT
18 ROSEMONT AVE
SAN ANSELMO CA 94960
Officer/Director/Trustee Two
DELAINE OLSON
DIRECTOR/SECRETARY
108 LEMON BLOSSOM LANE
PATTERSON CA 95363
Officer/Director/Trustee Three
ANGELIQUE ROJA
DIRECTOR/TREASURER
1071 BROADMOOR BOULEVARD
SAN LEANDRO CA 94577
| Organization’s website | ROUTE5.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/24/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| 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 | 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 | Yes |
| 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 | ARINN TESTA |
| Signature Title | CHAIRMAN OF THE BOARD/EXECUTIVE DIR |
| Signature Date | 7/3/18 |
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