FORM 1023-EZ for MY FATHERS WORLD

Field Data
EIN 20-2785813
Case Number EO-2019142-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY FATHERS WORLD
Organization’s Mailing Address PO BOX 6387
City VALLEJO
State CA
ZIP 94591-1387
Accounting period End 12
Primary contact name DANIEL A ROLLINS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE FLORES
COO/SECRETARY
315 AVIAN DRIVE
VALLEJO CA 94591-4864

Officer/Director/Trustee Two

ALBERT PUJOL
TREASURER
568 FALLEN LEAF CIRCLE
SAN RAMON CA 94583-5304

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/05
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name ROSE FLORES
Signature Title COO/SECRETARY
Signature Date 5/19/19

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