FORM 1023-EZ for VAST SELF CORPORATION

Field Data
EIN 83-1669166
Case Number EO-2018257-000561
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VAST SELF CORPORATION
Organization’s Mailing Address 207 N MOUNT SHASTA BLVD
City MOUNT SHASTA
State CA
ZIP 96067
Accounting period End 12
Primary contact name RAFAL STRZALKOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEKSANDER BALOS
CEO
PO BOX 957
MOUNT SHASTA CA 96067

Officer/Director/Trustee Two

LYNDA HARDY
SECRETARY
212 LOTUS LANE
MOUNT SHASTA CA 96067

Officer/Director/Trustee Three

DEANNA HERRERA
TRASURER
PSYCHOLOGIST 29397 PO BOX 1064
MOUNT SHASTA CA 96067

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Correctness Declaration Yes
Signature Name ALEKSANDER BALOS
Signature Title CEO
Signature Date 9/12/18

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