FORM 1023-EZ for THE SAN JOSE BLACK BERETS
| Field | Data |
|---|---|
| EIN | 83-3391633 |
| Case Number | EO-2020197-000328 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE SAN JOSE BLACK BERETS |
| Organization’s Mailing Address | 2776 MONTEREY ROAD APT 56 |
| City | SAN JOSE |
| State | CA |
| ZIP | 95111 |
| Accounting period End | 12 |
| Primary contact name | MANUEL ORTEGA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
NAICHE DOMINQUEZ
CHIEF EXECUTIVE OFFICER
16940 BRYANT AVENUE
DOS PALOS CA 93520
Officer/Director/Trustee Two
FELIPA PINEDA
SECRETARY
2770 MONTEREY ROAD APT 30
SAN JOSE CA 95111
Officer/Director/Trustee Three
ARTHUR DE LA ROCHA JR
CHIEF FINANCIAL OFFICER
1862 CREEK DRIVE
SAN JOSE CA 95125
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/17/2018 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A23 - Cultural, Ethnic Awareness |
| 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 | 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 | FELIPA PINEDA |
| Signature Title | SECRETARY |
| Signature Date | 7/13/2020 |
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