FORM 1023-EZ for VISION CENTER

Field Data
EIN 47-1239946
Case Number EO-2018043-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VISION CENTER
Organization’s Mailing Address 1750 JUNCTION AVENUE
City SAN JOSE
State CA
ZIP 95112
Accounting period End 12
Primary contact name CALVIN COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CALVIN COOK
DIRECTOR
3114 KISSELL CT
SAN JOSE CA 95111

Officer/Director/Trustee Two

BELINDA WORTHAM
SECRETARY
48 LESTER APT 3
CAMPBELL CA 95125

Officer/Director/Trustee Three

DELORES COOK
TREASURER
3114 KISSELL CT
SAN JOSE CA 95111

Officer/Director/Trustee Four

JERRY GIFFORD
TRUSTEE
2415 RINCONADA
SAN JOSE CA 95125

Officer/Director/Trustee Five

MICHEAL RODRIQUES
TRUSTEE
85 EAST HUMBOLDT STREET
SAN JOSE CA 95112

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/14
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CALVIN COOK
Signature Title DIRECTOR
Signature Date 2/8/18

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