FORM 1023-EZ for PERRIS VALLEY AFRICAN AMERICAN HISTORY COMMITTEE

Field Data
EIN 55-0793146
Case Number EO-2015152-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PERRIS VALLEY AFRICAN AMERICAN HISTORY COMMITTEE
Organization’s Mailing Address 10030 CARTAGENA DRIVE
City MORENO VALLEY
State CA
ZIP 92557
Accounting period End 12
Primary contact name MARGARET BRIGGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARGARET BRIGGS
PRESIDENT
10030 CARTAGENA DRIVE
MORENO VALLEY CA 92557

Officer/Director/Trustee Two

ROSIE BASS
VICE-PRESIDENT
1381 LINDSEY CT
SAN JACINTO CA 92583

Officer/Director/Trustee Three

GWENDOLYN JOHNSON
SECRETARY
40773 MOUNTAIN PRIDE
MURRIETA CA 92562

Officer/Director/Trustee Four

BOBBY JOHNSON
TREASURER
26704 WATER AVE
PERRIS CA 92571

Officer/Director/Trustee Five

VIRNIECIA GREEN-JORDAN
ASSISTANT SECRETARY
250 W 1ST STREET
PERRIS CA 92570

Organization’s website N/A
Organization’s email PVAAHC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/1999
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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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