FORM 1023-EZ for UNIFIED CALIFORNIA

Field Data
EIN 84-2573234
Case Number EO-2019214-000104
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNIFIED CALIFORNIA
Organization’s Mailing Address 3736 FALLON RD STE 402
City DUBLIN
State CA
ZIP 94568
Accounting period End 6
Primary contact name AMBER SMIDEBUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY RANGEL
MEMBER
3610 HILLCREST AVE
ANTIOCH CA 94531

Officer/Director/Trustee Two

AMBER SMIDEBUSH
MEMBER
3600 HILLCREST AVE
ANTIOCH CA 94531

Officer/Director/Trustee Three

STEVEN SPERLING
MEMBER
3610 HILLCREST AVE
ANTIOCH CA 94531

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 AMBER SMIDEBUSH
Signature Title MEMBER
Signature Date 7/31/19

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