FORM 1023-EZ for CLIMBING LIFE

Field Data
EIN 83-2588836
Case Number EO-2018333-000099
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLIMBING LIFE
Organization’s Mailing Address 1410 NEOTOMAS AVENUE SUITE 102
City SANTA ROSA
State CA
ZIP 95405
Accounting period End 12
Primary contact name LANCE BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIAN ELIZONDO
PRESIDENT/DIRECTOR
2105 W STEELE LANE
SANTA ROSA CA 95403

Officer/Director/Trustee Two

LANCE BROWN
TREASURER/DIRECTOR
1354 YULUPA AVENUE UNIT E
SANTA ROSA CA 95405

Officer/Director/Trustee Three

JINA BROOKS
SECRETARY/DIRECTOR
2320 GADS HILL STREET
SANTA ROSA CA 95401

Organization’s website WWW.CLIMBINGLIFE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 LANCE BROWN
Signature Title TREASURER/DIRECTOR
Signature Date 11/27/18

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