FORM 1023-EZ for SABORES WELL

Field Data
EIN 32-0483300
Case Number EO-2016064-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SABORES WELL
Organization’s Mailing Address 1634 CONNECTICUT DRIVE
City REDWOOD CITY
State CA
ZIP 94061
Accounting period End 12
Primary contact name M THERESE HJELM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

M THERESE HJELM
CEO
1634 CONNECTICUT DRIVE
REDWOOD CITY CA 94061

Officer/Director/Trustee Two

THERESE HJELM
SECRETARY
1634 CONNECTICUT DRIVE
REDWOOD CITY CA 94061

Officer/Director/Trustee Three

THERESE HJELM
CFO
1634 CONNECTICUT DRIVE
REDWOOD CITY CA 94061

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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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