FORM 1023-EZ for PLEASANT VALLEY SCHOOL

Field Data
EIN 81-2807455
Case Number EO-2017163-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLEASANT VALLEY SCHOOL
Organization’s Mailing Address 125 WYKOFF DR
City VACAVILLE
State CA
ZIP 95688
Accounting period End 6
Primary contact name JAMES HASKELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEA MCGUIRE
DIRECTOR
125 WYKOFF DR
VACAVILLE CA 95688

Officer/Director/Trustee Two

ALINA SOLODOVNIKOVA-ADAMS
DIRECTOR
706 WEST MONTE VISTA
VACAVILLE CA 95688

Officer/Director/Trustee Three

BRENNA DEMARTINI
DIRECTOR
103 AEGEAN WAY
VACAVILLE CA 95687

Officer/Director/Trustee Four

KRISTIN MILLIKEN
DIRECTOR
319 WOODCREST DR
VACAVILLE CA 95688

Officer/Director/Trustee Five

DEBORAH MCGUIRE
DIRECTOR
2 TRANQUILITY LANE
VACAVILLE CA 95688

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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