FORM 1023-EZ for CSRT FOUNDATION
| Field | Data |
|---|---|
| EIN | 87-1455391 |
| Case Number | EO-2021230-000221 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CSRT FOUNDATION |
| Organization’s Mailing Address | 10579 BLOOMFIELD STREET |
| City | LOS ALAMITOS |
| State | CA |
| ZIP | 90720 |
| Accounting period End | 12 |
| Primary contact name | JASON SHELTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SAMANTHA CASE
PRESIDENT
10579 BLOOMFIELD STREET
LOS ALAMITOS CA 90720-2501
Officer/Director/Trustee Two
JASON SHELTON
TREASURER
10579 BLOOMFIELD STREET
LOS ALAMITOS CA 90720-2501
Officer/Director/Trustee Three
JOHN FUQUA
SECRETARY
3822 CERRITOS AVENUE
LOS ALAMITOS CA 90720-2501
| Organization’s website | WWW.CSRTFOUNDATION.ORG |
|---|---|
| Organization’s email | CSRTFOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | No |
| Organization Incorporation Date | 6/24/2021 |
| Organization Incorporation State | CA |
| Contains Limitation | No |
| Does not expressly empower | No |
| Contains dissolution | No |
| National Taxonomy of Exempt Entities (NTEE) code | F30 - Mental Health Treatment - Multipurpose and 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 | Yes |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| Donation of funds | Yes |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | No |
| Signature Name | JASON SHELTON |
| Signature Title | TREASURER |
| Signature Date | 8/16/2021 |
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