FORM 1023-EZ for MASKUP SAN JOSE

Field Data
EIN 85-0645418
Case Number EO-2020150-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASKUP SAN JOSE
Organization’s Mailing Address 3060 EL CERRITO PLAZA BOX 362
City EL CERRITO
State CA
ZIP 94530
Accounting period End 12
Primary contact name DAWN ROGERS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON LUCERO
PRESIDENT
3081 BLACKFORD AVE APT 24
SAN JOSE CA 95117

Officer/Director/Trustee Two

TRANG LEHR
VICE-PRESIDENT
3081 BLACKFORD AVE APT 24
SAN JOSE CA 95117

Officer/Director/Trustee Three

LILLIANA MARTINEZ
SECRETARY
3081 BLACKFORD AVE APT 24
SAN JOSE CA 95117

Officer/Director/Trustee Four

DAWN ROGERS
TREASURER
3060 EL CERRITO PLAZA NO 362
EL CERRITO CA 94530

Organization’s website
Organization’s email JASON@TARDIGRADEOUTDOORS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
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 DAWN ROGERS
Signature Title TREASURER
Signature Date 5/27/2020

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