FORM 1023-EZ for AWAM CHAPTER 16 BAY AREA CA USA

Field Data
EIN 84-2428893
Case Number EO-2019200-000403
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AWAM CHAPTER 16 BAY AREA CA USA
Organization’s Mailing Address 800 S AIRPORT BLVD
City SAN FRANCISCO
State CA
ZIP 94128
Accounting period End 6
Primary contact name KERI MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM PRITCHARD
PRESIDENT
800 S AIRPORT BLVD
SAN FRANCISCO CA 94128

Officer/Director/Trustee Two

MARILYN ADKINS
VICE PRESIDENT
800 S AIRPORT BLVD
SAN FRANCISCO CA 94128

Officer/Director/Trustee Three

KERI MARTIN
SECRETARY / TREASURER
2883 DOIDGE AVE
PINOLE CA 94564-1018

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W03 - Professional Societies, Associations
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 KERI MARTIN
Signature Title SECRETARY / TREASURER
Signature Date 7/17/19

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