FORM 1023-EZ for ROCK AND ROLL BOOT CAMP

Field Data
EIN 83-3793373
Case Number EO-2019077-000624
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCK AND ROLL BOOT CAMP
Organization’s Mailing Address PO BOX 482
City NILAND
State CA
ZIP 92257-482
Accounting period End 6
Primary contact name JORDAN COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORDAN COOK
CHIEF FINANCIAL OFFICER
PO BOX 482
NILAND CA 92257-482

Officer/Director/Trustee Two

KURT PENNEY
PRESIDENT
6600 WILL RD
KELSEY CA 95667-7454

Officer/Director/Trustee Three

PAUL RICHTER
SECRETARY
1515 HEARST AVE APT 5
BERKELEY CA 94703-1245

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 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 JORDAN COOK
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 3/14/19

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